ICD-10-CM Billable Code

R13.11

Dysphagia, oral phase

Clinical Classification Guidelines

Medical Intelligence & Overview

Dysphagia, or difficulty swallowing, can occur during different phases of the swallowing process. When it specifically affects the oral phase, it involves challenges in the initial stage of swallowing, which includes preparing and moving food or liquids from the mouth to the throat. Recognized under ICD-10 code R13.11, oral phase dysphagia can impact a person's ability to eat and drink normally, potentially leading to nutritional deficiencies or infections if not properly managed. Understanding its causes, symptoms, and diagnostic approaches is essential for appropriate care and management.

Causes & Symptoms

Clinical Causes: Neurological disorders such as stroke, Parkinson’s disease, or multiple sclerosis Structural abnormalities including tumors, cysts, or lesions in the oral cavity or jaw Muscle weakness or coordination problems due to aging or neuromuscular diseases Trauma or injury to oral structures or nerves Dental issues like missing teeth or poorly fitting dentures Infections or inflammations affecting the oral cavity Side effects of certain medications that impact muscle control

Key Symptoms: Difficulty initiating swallowing or feeling of food sticking in the mouth Drooling or spilling food outside the mouth Difficulty chewing food thoroughly before swallowing Frequent coughing or choking during eating or drinking Oral discomfort or pain while swallowing Changes in speech related to oral muscle control Unintended loss of food or liquids from the mouth

Diagnostic & Treatment

Diagnosis Path: Diagnosing oral phase dysphagia involves a comprehensive evaluation, which may include several assessments:

Treatment Protocols: Management of oral phase dysphagia is often multidisciplinary, aimed at improving safety and efficiency of swallowing:

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

Clinical Advice & FAQs

Billing Guidance

Is R13.11 a billable ICD-10 code?
Yes, R13.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report R13.11?
Clinical documentation must specify the nature of Dysphagia, oral phase and any associated comorbidities for accurate reporting.

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