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v1.0.0
ICD-10 Guide
DiagnosesOropharyngeal Dysphagia

Oropharyngeal Dysphagia

ICD-10 Coding for Oropharyngeal Dysphagia(R13.12)

PRIMARY SPECIALTYNeurology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Oropharyngeal Dysphagia?
Essential facts and insights about Oropharyngeal Dysphagia

Key Clinical Considerations:

  • Difficulty swallowing solids and liquids
  • Choking or coughing during meals
  • Regurgitation or aspiration
  • Weight loss or dehydration due to feeding difficulties

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of swallowing difficulties
  • Neurological assessment findings
  • Results from swallowing studies (e.g., videofluoroscopic swallow study)
  • Detailed description of symptoms and their impact on daily life

Coding Guidelines

Usage Guidelines & Examples

  • Use R13.11 for oropharyngeal dysphagia specifically related to neurological disorders.
  • Common errors include using unspecified codes when specific types are applicable.

Code Exclusions

Important Exclusions

  • Esophageal dysphagia (R13.12)
  • Dysphagia due to structural abnormalities

Related ICD-10 Codes

Primary Codes
R13.10
Dysphagia, unspecified
R13.11
Dysphagia, oropharyngeal
Ancillary Codes
I69.391
Differential Codes
R13.11
R13.11
for oral phase involvement, not oropharyngeal.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Neurology

Specialty Applications

  • Patients with neurological disorders (e.g., stroke, Parkinson's disease)
  • Clinical settings such as neurology clinics, rehabilitation centers, and hospitals

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient history, clinical findings, and results of diagnostic tests.

What are the billing considerations?

Ensure accurate coding based on the specific type of dysphagia and associated neurological conditions.