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v1.0.0
ICD-10 Guide
ICD-10 CodesR43.2

R43.2

Parageusia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R43.2 is a billable code used to indicate a diagnosis of parageusia.

Key Diagnostic Point:

Parageusia is a condition characterized by a distortion of the sense of taste, where a person experiences an abnormal taste sensation that is often unpleasant or different from the normal taste of food. This can manifest as a metallic, bitter, or sour taste that persists even when no food is being consumed. Parageusia can arise from various underlying conditions, including neurological disorders, medication side effects, or systemic illnesses. It may also occur following viral infections, particularly those affecting the upper respiratory tract, or as a result of dental issues. The clinical significance of parageusia lies in its potential impact on nutrition and quality of life, as altered taste perception can lead to changes in dietary habits and preferences. Accurate diagnosis often requires a thorough patient history, including medication review and assessment of associated symptoms, to identify potential causes and guide appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other taste disorders
  • Need for comprehensive patient history
  • Potential for misdiagnosis with other conditions

Audit Risk Factors

  • Inadequate documentation of patient history
  • Failure to specify the duration of symptoms
  • Misclassification with other taste disorders
  • Lack of correlation between symptoms and diagnosis

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including medication review and associated symptoms.

Common Clinical Scenarios

Patients presenting with altered taste perception following medication changes or systemic illness.

Billing Considerations

Consideration of comorbid conditions that may contribute to taste distortion.

Emergency Medicine

Documentation Requirements

Acute care documentation including onset, duration, and associated symptoms.

Common Clinical Scenarios

Patients presenting with sudden onset of parageusia following viral infections or acute illness.

Billing Considerations

Rapid assessment of potential underlying causes, especially in acute settings.

Coding Guidelines

Inclusion Criteria

Use R43.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's symptoms, duration, and any relevant medical history
  • Ensure that parageusia is not coded in conjunction with conditions that have distinct ICD
  • 10 codes

Exclusion Criteria

Do NOT use R43.2 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits where parageusia is discussed and managed.

Documentation Requirements

Document the patient's history, symptoms, and any treatment adjustments.

Specialty Considerations

Internal medicine may require more detailed documentation of comorbidities.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of taste disorders, improving the ability to capture the nuances of conditions like parageusia. This specificity aids in better understanding and management of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of taste disorders, improving the ability to capture the nuances of conditions like parageusia. This specificity aids in better understanding and management of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of taste disorders, improving the ability to capture the nuances of conditions like parageusia. This specificity aids in better understanding and management of the condition.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is parageusia?

Parageusia is a condition where a person experiences a distorted sense of taste, often described as unpleasant or abnormal.

What are common causes of parageusia?

Common causes include medication side effects, neurological disorders, viral infections, and dental issues.

How is parageusia diagnosed?

Diagnosis typically involves a thorough patient history, assessment of symptoms, and possibly taste testing.