ICD-10 Coding for Pharyngoesophageal Dysphagia(R13.14)
Complete ICD-10-CM coding and documentation guide for Pharyngoesophageal Dysphagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pharyngoesophageal Dysphagia
R13.10-R13.19Primary Range
Dysphagia
This range includes all types of dysphagia, with R13.14 specifically for pharyngoesophageal dysphagia.
Sequelae of cerebrovascular disease
Used when dysphagia is a sequela of a cerebrovascular event, requiring sequencing before R13.14.
Key Information: ICD-10 code for pharyngoesophageal dysphagia
Essential facts and insights about Pharyngoesophageal Dysphagia
Primary ICD-10-CM Code for pharyngoesophageal dysphagia
Decision Criteria
clinical Criteria
- Presence of impaired PES relaxation on manometry
documentation Criteria
- Detailed phase-specific swallowing assessment
Applicable To
- Cricopharyngeal achalasia
- Upper esophageal sphincter dysfunction
Excludes
- Esophageal dysphagia (R13.19)
Clinical Validation Requirements
- FEES/VFS showing residual bolus at PES
- Manometry confirming failed PES relaxation
Code-Specific Risks
- Misclassification with esophageal dysphagia
- Incorrect sequencing with stroke-related codes
Coding Notes
- Ensure documentation specifies pharyngoesophageal phase involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pharyngoesophageal Dysphagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R13.14.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denial
Mitigation Strategy
Always include VFS or FEES results in documentation, Ensure phase-specific details are recorded
Impact
Reimbursement: Potential claim denial due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R13.14 when pharyngoesophageal phase is specified.
Impact
Failure to sequence stroke-related codes before R13.14.
Mitigation Strategy
Educate coding staff on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Pharyngoesophageal Dysphagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pharyngoesophageal Dysphagia
Use these documentation templates to ensure complete and accurate documentation for Pharyngoesophageal Dysphagia. These templates include all required elements for proper coding and billing.
Post-stroke dysphagia evaluation
Specialty: Speech-Language PathologyRequired Elements
- Phase-specific swallowing assessment
- Instrumental evaluation results
- Compensatory strategies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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