2018 ICD-10-CM Diagnosis Code R13.1

Dysphagia

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 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 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
    2018 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
    2018 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 Code History
Code annotations containing back-references to 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.