The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
Why ICD-10 codes are important
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Dysphagia following cerebral infarction I69. 391 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.
I63. 9 - Cerebral infarction, unspecified | ICD-10-CM.
Cognitive deficits following cerebral infarction The 2022 edition of ICD-10-CM I69. 31 became effective on October 1, 2021. This is the American ICD-10-CM version of I69. 31 - other international versions of ICD-10 I69.
R13. 11, Dysphagia, oral phase.
Dysphagia, oropharyngeal phase R13. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R13. 12 became effective on October 1, 2021.
Code category I67-I68 describes other cerebrovascular diseases and cerebrovascular disorders in diseases classified elsewhere. Code category I69 (Sequelae of cerebrovascular disease) specifies the type of stroke that caused the sequelae (late effect) as well as the residual condition itself.
History of Stroke (ICD-10 code Z86. 73) should be used when the patient is being seen in an out patient setting subsequent to an inpatient stay. In addition, this code should be used when the patient does not exhibit neurologic deficits due to cerebrovascular disease (i.e., no late effects due to stroke).
ICD-10 code: I63. 9 Cerebral infarction, unspecified.
Residual neurological effects of a stroke or cerebrovascular accident (CVA) should be documented using CPT category I69 codes indicating sequelae of cerebrovascular disease. Codes I60-67 specify hemiplegia, hemiparesis, and monoplegia and identify whether the dominant or nondominant side is affected.
Unspecified sequelae of cerebral infarction I69. 30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I69. 30 became effective on October 1, 2021.
Z86. 73 - Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits | ICD-10-CM.
A symptom referring to difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, parkinson disease, and multiple sclerosis. Difficulty in swallowing which may result from neuromuscular disorder or mechanical obstruction.
Difficulty in swallowing which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the pharynx and upper esophageal sphincter; and esophageal dysphagia due to malfunction of the esophagus.
Dysphagia documented as functional, hysterical, nervous, or psychogenic is classified to code F45.8, Other somatoform disorders.
Psychogenic dysphagia is assigned to code 306.4, Gastrointestinal malfunction arising from mental factors. Since dysphagia is a symptom, it will not be sequenced as the principal diagnosis if the underlying cause has been documented by the physician. However, the appropriate code for dysphagia may be coded and sequenced as a secondary diagnosis ...
Oropharyngeal phase dysphagia (787.22) refers to problems with moving food from the oropharynx into the esophagus. Pharyngeal phase dysphagia (787.23) results from a weakness or lack of coordination of the pharyngeal muscles; aspiration is most likely to occur in this phase. Pharyngoesophageal phase dysphagia (787.24) results from passing food into the esophagus.
Treatment for esophageal dysphagia may include esophageal dilation, surgery to remove esophageal tumor or diverticulum, or medication. Severe dysphagia may require the insertion of a feeding tube (96.6) or a percutaneous endoscopic gastrostomy tube (43.11).
Dysphagia can lead to the following complications: • malnutrition (categories 260 to 263) ; • dehydration (276.51); and. • aspiration pneumonia (507.0). Diagnosis. To diagnose the underlying cause of the dysphagia, a physician may perform any of the following tests: • barium swallow or modified barium swallow;
In other words, a symptom code should not be sequenced as the principal diagnosis when a related definitive diagnosis has been established. Since dysphagia is a symptom, it will not be sequenced as the principal diagnosis if the underlying cause has been documented by the physician. — Audrey Howard.
Dysphagia alone may not be of concern, but it may be indicative of a more serious condition requiring treatment if it persists or is severe. In addition, the condition may make it difficult for a patient to consume enough calories or fluids, which can lead to additional medical problems.