2019 ICD-10-CM Diagnosis Code R13.1

Dysphagia

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • R13.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM R13.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R13.1 - other international versions of ICD-10 R13.1 may differ.
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • , if applicable, dysphagia following cerebrovascular disease (
    ICD-10-CM Diagnosis Code I69

    Sequelae of cerebrovascular disease

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Note
    • Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition
    Type 1 Excludes
    • personal history of cerebral infarction without residual deficit (Z86.73)
    • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
    • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
    • sequelae of traumatic intracranial injury (S06.-)
    I69
    . with final characters -91)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R13.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • psychogenic dysphagia (
    ICD-10-CM Diagnosis Code F45.8

    Other somatoform disorders

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Psychogenic dysmenorrhea
    • Psychogenic dysphagia, including 'globus hystericus'
    • Psychogenic pruritus
    • Psychogenic torticollis
    • Somatoform autonomic dysfunction
    • Teeth grinding
    Type 1 Excludes
    • sleep related teeth grinding (G47.63)
    F45.8
    )
The following code(s) above R13.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R13.1:
  • R00-R99
    2019 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R10-R19
    2019 ICD-10-CM Range R10-R19

    Symptoms and signs involving the digestive system and abdomen

    Type 2 Excludes
    • congenital or infantile pylorospasm (Q40.0)
    • gastrointestinal hemorrhage (K92.0-K92.2)
    • intestinal obstruction (K56.-)
    • newborn gastrointestinal hemorrhage (P54.0-P54.3)
    • newborn intestinal obstruction (P76.-)
    • pylorospasm (K31.3)
    • signs and symptoms involving the urinary system (R30-R39)
    • symptoms referable to female genital organs (N94.-)
    • symptoms referable to male genital organs (N48-N50)
    Symptoms and signs involving the digestive system and abdomen
Clinical Information
  • A disorder characterized by difficulty in swallowing.
  • 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. 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.
  • Difficulty in swallowing.
  • Difficulty swallowing.
  • If you have a swallowing disorder, you may have difficulty swallowing and may also have pain while swallowing. Some people may be completely unable to swallow or may have trouble swallowing liquids, foods or saliva. This makes it hard to eat. Often, it can be difficult to take in enough calories and fluids to nourish your body.anyone can have a swallowing disorder, but it is more likely in the elderly. Swallowing problems often happen because of other conditions, including
    • nervous system disorders, such as parkinson's disease and cerebral palsy
    • problems with your esophagus, including gastroesophageal reflux disease (gerd)
    • stroke
    • head or spinal cord injury
    • cancer of the head, neck, or esophagus
    medicines can help some people, while others may need surgery. Swallowing treatment with a speech-language pathologist can help. You may find it helpful to change your diet or hold your head or neck in a certain way when you eat. In very serious cases, people may need feeding tubes. nih: national institute on deafness and other communication disorders
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to R13.1:
  • Type 2 Excludes: R07.0
    ICD-10-CM Diagnosis Code R07.0

    Pain in throat

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • chronic sore throat (J31.2)
    • sore throat (acute) NOS (J02.9)
    Type 2 Excludes
  • Use Additional: I69.091
    , I69.191
    , I69.291
    , I69.391
    , I69.891
    , I69.991
    ICD-10-CM Diagnosis Code I69.091

    Dysphagia following nontraumatic subarachnoid hemorrhage

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
    ICD-10-CM Diagnosis Code I69.191

    Dysphagia following nontraumatic intracerebral hemorrhage

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
    ICD-10-CM Diagnosis Code I69.291

    Dysphagia following other nontraumatic intracranial hemorrhage

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
    ICD-10-CM Diagnosis Code I69.391

    Dysphagia following cerebral infarction

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
    ICD-10-CM Diagnosis Code I69.891

    Dysphagia following other cerebrovascular disease

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
    ICD-10-CM Diagnosis Code I69.991

    Dysphagia following unspecified cerebrovascular disease

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Use Additional
    • code to identify the type of dysphagia, if known (R13.1-)
ICD-10-CM Codes Adjacent To R13.1
R11.1 Vomiting
R11.10 …… unspecified
R11.11 …… without nausea
R11.12 Projectile vomiting
R11.13 …… of fecal matter
R11.14 Bilious vomiting
R11.2 Nausea with vomiting, unspecified
R12 Heartburn
R13 Aphagia and dysphagia
R13.0 Aphagia
R13.1 Dysphagia
R13.10 …… unspecified
R13.11 …… oral phase
R13.12 …… oropharyngeal phase
R13.13 …… pharyngeal phase
R13.14 …… pharyngoesophageal phase
R13.19 Other dysphagia
R14 Flatulence and related conditions
R14.0 Abdominal distension (gaseous)
R14.1 Gas pain
R14.2 Eructation

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.