ICD-10 Coding for Uvula Swelling(K13.79, T78.40XA)
Complete ICD-10-CM coding and documentation guide for Uvula Swelling. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Uvula Swelling
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K13.79 | Other lesions of oral mucosa | Use when the primary concern is uvula swelling without a specified cause. |
|
| T78.40XA | Allergy, unspecified | Use when uvula swelling is due to an allergic reaction. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for uvula swelling
Essential facts and insights about Uvula Swelling
Primary ICD-10-CM Codes for uvula swelling
Decision Criteria
clinical Criteria
- Presence of uvula swelling confirmed by examination
documentation Criteria
- Provider documentation specifies uvulitis
Applicable To
- Uvulitis
- Swollen uvula
Excludes
- Stomatitis (K12.1)
Clinical Validation Requirements
- Documentation of uvula swelling
- Clinical examination confirming uvulitis
Code-Specific Risks
- Misclassification if cause is not documented
Coding Notes
- Ensure documentation specifies the cause of uvula swelling for accurate coding.
T78.40XA - Allergy, unspecified
Use when uvula swelling is due to an allergic reaction.
Applicable To
- Allergic reaction
Excludes
- Anaphylactic shock (T78.2)
Clinical Validation Requirements
- Documentation of allergic reaction symptoms
- History of allergen exposure
Coding Notes
Document allergen exposure and symptoms for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Streptococcus, group A, as the cause of diseases classified elsewhere
B95.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Uvula Swelling to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K13.79.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Educate providers on the importance of detailed documentation., Use templates to guide comprehensive note-taking.
Impact
Reimbursement: May lead to incorrect reimbursement if not coded accurately., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure uvulitis is documented and code K13.79 is used.
Impact
Risk of audits due to vague documentation of uvula swelling.
Mitigation Strategy
Implement provider education and use of documentation templates.
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 Uvula Swelling, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Uvula Swelling
Use these documentation templates to ensure complete and accurate documentation for Uvula Swelling. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Uvula Swelling
Specialty: Emergency MedicineRequired Elements
- Size and color of uvula
- Presence of erythema or exudate
- Airway assessment
- Etiology (infectious, allergic, traumatic)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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