Dysphagia: Difference between revisions
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{{ICD10 category|Gastrointestinal}}{{ICD10 category|Symptom/Sign}}{{ICD10 category|Metabolic/nutrition}} | {{ICD10 category|Gastrointestinal}}{{ICD10 category|Symptom/Sign}}{{ICD10 category|Metabolic/nutrition}} | ||
== Additional Info == | == Additional Info == | ||
{{Discuss| | {{Discuss| | ||
* Seeking clarification regarding the above statement; if there is a clear cause and effect relationship between dysphagia and another condition such as CVA or Parkinson's why is dysphagia not combined with CVA or Parkinson's if present and significant to admission? To extrapolate for patients who suffer paralysis with CVA is this also a "secondary feature" of the stroke and should not be coded as a combined dx with the CVA? Is this an inconsistency? Thanks! (Pam) | * Seeking clarification regarding the above statement; if there is a clear cause and effect relationship between dysphagia and another condition such as CVA or Parkinson's why is dysphagia not combined with CVA or Parkinson's if present and significant to admission? To extrapolate for patients who suffer paralysis with CVA is this also a "secondary feature" of the stroke and should not be coded as a combined dx with the CVA? Is this an inconsistency? Thanks! (Pam) | ||
** This was added in (see link below discussion). I think back then we didn't code symptoms when the cause was known. If that rings a bell then this instruction is likely no longer applicable and could be removed. [[User:Ttenbergen|Ttenbergen]] 11:22, 2022 April 7 (CDT) | ** This was added in (see link below discussion). I think back then we didn't code symptoms when the cause was known. If that rings a bell then this instruction is likely no longer applicable and could be removed. [[User:Ttenbergen|Ttenbergen]] 11:22, 2022 April 7 (CDT) | ||
** Yes that was the instruction to not include the aphasia, paresis etc that can go along with a CVA. Now that we have the instructions for the symptom/sign/test result not needed when cause known, which says it is optional to link it, then by all means it can be linked. I will take out the instructions. If that clears it up please remove this conversation! [[User:Lkaita|Lisa Kaita]] 11:51, 2022 April 14 (CDT) | |||
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[https://ccmdb.kuality.ca/index.php?title=Dysphagia&diff=prev&oldid=82373 edit where the comment was added] | [https://ccmdb.kuality.ca/index.php?title=Dysphagia&diff=prev&oldid=82373 edit where the comment was added] | ||
Revision as of 11:51, 14 April 2022
| ICD10 Diagnosis | |
| Dx: | Dysphagia |
| ICD10 code: | R13 |
| Pre-ICD10 counterpart: | Dysphagia - NYD |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
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edit where the comment was added
Symptom/Sign/Test Result not needed when cause known
- This code identifies a symptom or a sign, or an abnormal test result, not a disorder.
- So, you should code the cause of the symptom/sign/abnormal test, if known -- and if you do so, then also coding and combining the symptom/sign/abnormal test result to that cause is generally optional, but is guided by the following guidelines.
- Here are guidelines for whether or not to ALSO code the symptom/sign/abnormal test when you DO code the underlying cause:
- If it is a subjective symptom (e.g. pain) then coding it is optional
- When it is a physical exam finding (e.g. abdominal tenderness) then coding it is generally optional
- An exception is when the symptom/sign/abnormal testis so severe that all by itself it mandates hospitalization and/or a procedure -- a good example is a patient who has Wegener's granulomatosis is admitted due with Hemoptysis. Since hemoptysis is a physical finding that fits this description of "severe" it should be coded, and combined with Wegener's.
- When it is an abnormal laboratory finding which in and of itself has relevance (e.g. hyperkalemia, hypoalbuminemia) then USUALLY code it
- You don't need to code the abnormal lab finding is when it is actually a major component of the underlying cause --- example is when a person presents with an acute MI, there is no need to code the abnormal troponin as Abnormal blood chemistry NOS
- The trickiest of these guidelines is for abnormal radiologic tests
- When the abnormal test is fully explained by the underlying diagnosis/diagnoses (e.g. pneumonia as cause of abnormal chest imaging, or a skull fracture with an intracranial hemorrhage both identified by an abnormal head CT) then coding the abnormal imaging result is optional
- But remember there are some rare things for which the abnormal imaging result IS part of coding the entity, for example we code retroperitoneal hemorrhage by the combination of Hemorrhage, NOS and Retroperitoneal area, diagnostic imaging, abnormal
- Sometimes there may be multiple symptom/sign/test result that might or might NOT be related to each other by virtue of having the same underlying cause. Since in the absence of KNOWING that cause, such assumptions may well be incorrect, do NOT combine them together if you are not certain they actually have the same underlying cause.
Repeated events
If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.
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Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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