ICD Code R13.12

ICD code R13.12 is a medical classification used to specify a diagnosis of dysphagia, oropharyngeal phase, which refers to difficulty swallowing due to problems in the mouth and throat area.

1. Difficulty Initiating Swallowing: Patients exhibit trouble starting the swallowing process, often needing multiple attempts to initiate a swallow.

2. Coughing or Choking During Eating: There is frequent coughing or choking episodes while consuming food or liquids, indicating potential aspiration risks.

3. Nasal Regurgitation: Food or liquid may regurgitate through the nose, suggesting a dysfunction in the oropharyngeal phase of swallowing.

4. Gurgling Voice Quality: A wet or gurgling sound in the voice after swallowing, which may indicate residue in the pharynx.

5. Frequent Throat Clearing: Persistent need to clear the throat during or after meals, often due to pharyngeal residue.

6. Unexplained Weight Loss: Significant weight loss without a clear cause, potentially due to inadequate nutrition intake from swallowing difficulties.

7. Recurrent Pneumonia: History of recurrent respiratory infections or pneumonia, possibly due to aspiration of food or liquids.

8. Prolonged Meal Times: Extended duration required to complete meals, often due to difficulty managing food in the mouth and throat.

9. Sensation of Food Sticking: Patients report a feeling of food sticking in the throat or upper chest area during swallowing.

10. Drooling or Poor Oral Control: Inability to control saliva or food in the mouth, leading to drooling or spillage.

11. Need for Dietary Modifications: Requirement to modify food textures or liquid consistencies to facilitate safer swallowing.

12. Referral from Speech-Language Pathologist: A recommendation from a speech-language pathologist following a clinical swallowing evaluation indicating oropharyngeal dysphagia.

For the ICD code R13.12, which pertains to dysphagia, oropharyngeal phase, the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. 92610 - Evaluation of oral and pharyngeal swallowing function.
2. 92611 - Motion fluoroscopic evaluation of swallowing function by cine or video recording.
3. 92612 - Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording.
4. 92613 - Flexible fiberoptic endoscopic evaluation of swallowing with sensory testing.
5. 92614 - Flexible fiberoptic endoscopic evaluation of swallowing with sensory testing; interpretation and report only.
6. 92615 - Flexible fiberoptic endoscopic evaluation of swallowing with sensory testing; therapeutic services.
7. 92526 - Treatment of swallowing dysfunction and/or oral function for feeding.

These CPT codes are typically used by healthcare providers to document and bill for services related to the evaluation and treatment of swallowing disorders associated with the ICD code R13.12. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered to ensure accurate billing and reimbursement.

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