From the Guidelines
The ICD-10 code for difficulty swallowing is R13, with more specific codes available for different types of dysphagia, such as R13.0 for inability to swallow at all, R13.11 for oral phase dysphagia, R13.12 for oropharyngeal dysphagia, and R13.13 for pharyngeal dysphagia. According to the ESPEN guideline on clinical nutrition in neurology 1, dysphagia is a common feature of many neurological disorders, including stroke, Parkinson's disease, and multiple sclerosis. The guideline highlights the importance of proper coding and documentation of dysphagia, as it can have a significant impact on patient outcomes, including increased risk of aspiration pneumonia, malnutrition, and mortality.
Some key points to consider when coding for dysphagia include:
- R13.0: inability to swallow at all
- R13.11: oral phase dysphagia
- R13.12: oropharyngeal dysphagia
- R13.13: pharyngeal dysphagia It is essential to note that dysphagia can be a symptom of various underlying conditions, and further diagnostic evaluation is typically warranted to determine the cause and appropriate treatment, as stated in the guideline 1. The specificity in coding helps with proper medical documentation, appropriate treatment planning, and accurate insurance reimbursement.
The guideline also emphasizes the importance of considering the underlying cause of dysphagia, such as stroke, neurological disorder, or mechanical obstruction, as this may affect coding and treatment planning 1. Overall, accurate coding and documentation of dysphagia are crucial for providing high-quality patient care and improving outcomes.
From the Research
ICD 10 Code for Difficulty Swallowing
- The ICD 10 code for difficulty swallowing, also known as dysphagia, is R13 2, 3.
- Dysphagia is classified under "symptoms and signs involving the digestive system and abdomen" in the International Classification of Diseases (ICD-10) 2.
- The ICD-10 classification specifies only one broad term - dysphagia (R13), which is defined as obstruction in the region of the pharynx, sternum or xiphoid because of obstruction of the passage of food from the mouth to the stomach or cardia 2.
Definition and Causes of Dysphagia
- Dysphagia is defined as difficulty in swallowing that can be caused by a number of disorders that involve either the oropharynx or the esophagus 4.
- Dysphagia can be caused by mechanical narrowing or a motor disorder, and specific endoscopic treatment depends on its etiology 4.
- Dysphagia can also be caused by other factors such as muscle tension, laryngeal hyperresponsiveness, and nonspecific laryngeal inflammation 3.
Diagnosis and Treatment of Dysphagia
- The diagnosis of dysphagia involves a multidisciplinary approach, including otolaryngologic, phoniatric, and speech therapist's examination, as well as Functional Endoscopic Evaluation of Swallowing (FEES) and questionnaires concerning dysphonia and dysphagia symptoms 3.
- Treatment options for dysphagia include endoscopic dilation, injection of botulinum toxin, peroral endoscopic myotomy, and self-expandable metal stent insertion, depending on the underlying cause 4, 5.
- A basic treatment pathway based on cause is provided for reference, and the aim of treatment is to ensure safe and sufficient nutrition to prevent malnutrition and complications associated with dysphagia 2, 6.