ICD-10 Coding for Sialorrhea(K11.7)
Complete ICD-10-CM coding and documentation guide for Sialorrhea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sialorrhea
Key Information: ICD-10 code for sialorrhea
Essential facts and insights about Sialorrhea
Primary ICD-10-CM Code for sialorrhea
Decision Criteria
clinical Criteria
- Chronic excessive salivation impacting daily life
coding Criteria
- Presence of underlying condition like Parkinson's
Applicable To
- Chronic sialorrhea
- Hypersalivation
- Ptyalism
Excludes
- Sialoadenitis (K11.2)
Clinical Validation Requirements
- Quantified severity (e.g., >50 mL/day)
- Impact on daily activities
- Duration >3 months
Code-Specific Risks
- Misclassification as unspecified salivary disorder (K11.9)
Coding Notes
- Ensure documentation specifies the cause and severity of sialorrhea.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of antipsychotics
T45.2X5ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Excessive salivation
R68.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sialorrhea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K11.7.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terms like 'hypersalivation' or 'ptyalism'., Document measurable impacts.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use K11.7 when the cause is known and documented.
Impact
Failure to code underlying conditions first.
Mitigation Strategy
Review coding guidelines for 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 Sialorrhea, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sialorrhea
Use these documentation templates to ensure complete and accurate documentation for Sialorrhea. These templates include all required elements for proper coding and billing.
Chronic sialorrhea in Parkinson's disease
Specialty: NeurologyRequired Elements
- Severity and frequency of drooling
- Impact on daily activities
- Underlying neurological condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Sialorrhea? Ask your questions below.