Radiation induced dysphagia icd 10

The code I It is clinically and virtually impossible to use this code on a patient outside the stated age range. The code is commonly used in cardiology medical specialties to specify clinical concepts such as selected atherosclerosis, ischemia, and infarction.

The Tabular List of Diseases and Injuries is a list of ICD codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD code s.

The following references for the code I The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:. The ICD code I The Diagnostic Related Groups DRGs are a patient classification scheme which provides a means of relating the type of patients a hospital treats.

The approximate mapping means there is not an exact match between the ICD code and the ICD-9 code and the mapped code is not a precise representation of the original code. Atherosclerosis is a disease in which plaque builds up inside your arteries. Plaque is a sticky substance made up of fat, cholesterol, calcium, and other substances found in the blood.

Over time, plaque hardens and narrows your arteries. That limits the flow of oxygen-rich blood to your body.

2021 ICD-10-CM Code K22.2

Atherosclerosis usually doesn't cause symptoms until it severely narrows or totally blocks an artery. Many people don't know they have it until they have a medical emergency.

A physical exam, imaging, and other diagnostic tests can tell if you have it. Medicines can slow the progress of plaque buildup. Your doctor may also recommend procedures such as angioplasty to open the arteries, or surgery on the coronary or carotid arteries.

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Lifestyle changes can also help. These include following a healthy diet, getting regular exercise, maintaining a healthy weight, quitting smoking, and managing stress. Coronary artery disease CAD is the most common type of heart disease. It is the leading cause of death in the United States in both men and women. CAD happens when the arteries that supply blood to heart muscle become hardened and narrowed.

This is due to the buildup of cholesterol and other material, called plaque, on their inner walls. This buildup is called atherosclerosis.

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As it grows, less blood can flow through the arteries. As a result, the heart muscle can't get the blood or oxygen it needs. This can lead to chest pain angina or a heart attack. Most heart attacks happen when a blood clot suddenly cuts off the hearts' blood supply, causing permanent heart damage. Over time, CAD can also weaken the heart muscle and contribute to heart failure and arrhythmias.

Radiation Fibrosis

Heart failure means the heart can't pump blood well to the rest of the body. Arrhythmias are changes in the normal beating rhythm of the heart.

Previous Code: I Related Codes.The guidelines for coding Neoplasms are below. Certain benign neoplasms, such as prostatic adenomas, may be found in the specific body system chapters.

To properly code a neoplasmit is necessary to determine from the record if the neoplasm is benign, in-situ, malignant, or of uncertain histologic behavior. If malignant, any secondary metastatic sites should also be determined. For multiple neoplasms of the same site that are not contiguous such as tumors in different quadrants of the same breastcodes for each site should be assigned. Malignant neoplasms of ectopic tissue are to be coded to the site of origin mentioned, e.

The neoplasm table in the Alphabetic Index should be referenced first. However, if the histological term is documented, that term should be referenced first, rather than going immediately to the Neoplasm Table, in order to determine which column in the Neoplasm Table is appropriate.

It is important to select the proper column in the table that corresponds to the type of neoplasm. The Tabular List should then be referenced to verify that the correct code has been selected from the table and that a more specific site code does not exist. See Section I.

radiation induced dysphagia icd 10

Factors influencing health status and contact with health services, Status, for information regarding Z Treatment directed at the malignancy. If the treatment is directed at the malignancy, designate the malignancy as the principal diagnosis. When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary site only, the secondary neoplasm is designated as the principal diagnosis even though the primary malignancy is still present.

Coding and sequencing of complications associated with the malignancies or with the therapy thereof are subject to the following guidelines:. When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy at that site, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy.

Any mention of extensioninvasion, or metastasis to another site is coded as a secondary malignant neoplasm to that site. The secondary site may be the principal or first-listed with the Z85 code used as a secondary code. Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms. Symptoms, signs, and ill-defined conditions listed in Chapter 18 characteristic of, or associated with, an existing primary or secondary site malignancy cannot be used to replace the malignancy as principal or first-listed diagnosis, regardless of the number of admissions or encounters for treatment and care of the neoplasm.

See section I. Factors influencing health status and contact with health services, Encounter for prophylactic organ removal. A patient may have more than one malignant tumor in the same organ. These tumors may represent different primaries or metastatic disease, depending on the site. Should the documentation be unclear, the provider should be queried as to the status of each tumor so that the correct codes can be assigned. Disseminated malignant neoplasm, unspecified. Code C It should not be used in place of assigning codes for the primary site and all known secondary sites.

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This code should only be used when no determination can be made as to the primary site of a malignancy. This code should rarely be used in the inpatient setting. When a primary malignancy has been excised but further treatment, such as an additional surgery for the malignancy, radiation therapy or chemotherapy is directed to that site, the primary malignancy code should be used until treatment is completed.

When a primary malignancy has been previously excised or eradicated from its site, there is no further treatment of the malignancy directed to that site, and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy.

Subcategories ZDysphagia constitutes a difficulty in swallowing, which may also be associated with pain. Occasionally, a patient may not be able to swallow at all.

Although dysphagia can occur at any age, it is more common in older adults. Dysphagia alone may not be of concern, but it may be indicative of a more serious condition requiring treatment if it persists or is severe.

2021 ICD-10-CM Code W88.8XXD

In addition, the condition may make it difficult for a patient to consume enough calories or fluids, which can lead to additional medical problems. The specific code assignment depends on where the dysphagia occurs in the swallowing process. Oral phase dysphagia Oropharyngeal phase dysphagia Pharyngeal phase dysphagia Pharyngoesophageal phase dysphagia If the dysphagia is due to a prior stroke, then code Dysphagia documented as functional, hysterical, or nervous is classified to code Psychogenic dysphagia is assigned to code Since dysphagia is a symptom, it will not be sequenced as the principal diagnosis if the underlying cause has been documented by the physician.

However, the appropriate code for dysphagia may be coded and sequenced as a secondary diagnosis if it is not inherent to the disease process. Symptoms The following signs and symptoms are often associated with dysphagia:. Causes The following are some common causes of oropharyngeal dysphagia:.

Diagnosis To diagnose the underlying cause of the dysphagia, a physician may perform any of the following tests:. Treatment Treatment for dysphagia mainly depends on the type or the underlying cause. For oropharyngeal dysphagia, a speech therapist may teach a patient exercises to coordinate the swallowing muscles or teach swallowing techniques.

Treatment for esophageal dysphagia may include esophageal dilation, surgery to remove esophageal tumor or diverticulum, or medication.The code K The Tabular List of Diseases and Injuries is a list of ICD codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD code s.

The following references for the code K The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:. The approximate mapping means there is not an exact match between the ICD code and the ICD-9 code and the mapped code is not a precise representation of the original code. Your salivary glands are in your mouth. You have three pairs of major salivary glands and hundreds of small minor glands.

They make saliva spit and empty it into your mouth through openings called ducts. Saliva makes your food moist, which helps you chew and swallow. It helps you digest your food. It also cleans your mouth and contains antibodies that can kill germs.

radiation induced dysphagia icd 10

Problems with salivary glands can cause them to become irritated and swollen. You may have symptoms such as. Causes of salivary gland problems include infections, obstruction, or cancer. Problems can also be due to other disorders, such as mumps or Sjogren's syndrome. Previous Code: K Related Codes.

Next Code: K Version Metrics details. Dysphagia may present in all critically ill patients and large-scale clinical data show that e. Recent data demonstrate that dysphagia is mostly persisting and that its presence is independently associated with adverse patient-centered clinical outcomes. Although several risk factors possibly contributing to dysphagia development were proposed, the underlying exact mechanisms in ICU patients remain incompletely understood and no current consensus exists on how to best approach ICU patients at risk.

Moreover, the economic burden on public health care systems is high. In light of high mortality rates associated with the presence of dysphagia and the observation that dysphagia is not systematically screened for on most ICUs, this review describes epidemiology, terminology, and potential mechanisms of dysphagia on the ICU. Furthermore, the impact of dysphagia on affected individuals, health care systems, and society is discussed in addition to current and future potential therapeutic approaches.

Following systematic screening post-extubation, we recently published the largest prospective observational study on PED and observed that the PED incidence in unselected emergency ICU admission was Importantly, the presence of PED had an impact on morbidity and mortality, with an excess day all-cause mortality rate of 9. In general medical populations, the overall burden of dysphagia on public health care system is considered high.

Considering that post-extubation dysphagia is not routinely screened for in most ICUs [ 34 ], maybe due to limited awareness, PED appears a rather poorly recognized health care problem. Years following the latest systematic reviews on incidence and mechanisms of swallowing disorders in critically ill ICU patients [ 4735 ], we embarked to update respective available data in the context of dysphagia epidemiology, potential mechanisms leading to dysphagia, screening approaches, and current and future treatment modalities.

In total, articles were included following an initial search strategy using the above stated search string. Publications were screened for until December Swallowing is a complex procedure involving more than 50 muscles, and a number of cranial nerves [ 36 ] Fig.

2021 ICD-10-CM Code K11.7

Cortical structures involved particularly include the frontoparietal operculum, the primary sensorimotor cortex and association cortices and the anterior part of the insula. Cortico-bulbar projections then target the central pattern generators located in the dorsal medulla oblongata [ 373839 ], and the solitary nucleus and nucleus ambiguous coordinate swallowing [ 404142 ].

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In an awake state, individuals swallow involuntarily more than once per minute. Four phases of swallowing can be differentiated [ 44 ]: 1 oral preparatory, 2 oral transit, 3 pharyngeal, and 4 the esophageal phase Fig. Bolus formation takes place in phase 1. In phase 2, the bolus is placed in the middle of the tongue, pushed against the hard palate and backwards to the oropharynx.

When in contact with the palatoglossal arch, the swallowing reflex is triggered and the involuntary pharyngeal phase is initiated. The epipharynx is sealed and airway closure occurs in three different stages: a vocal cord adduction, b ventricular fold adduction, and c contact of arytenoid cartilages with the anteriorly tilted epiglottis. Importantly, active laryngeal elevation occurs which indirectly opens the upper esophageal sphincter. The bolus then enters the epiglottic valleculae and pyriforme sinuses.

In the involuntary esophageal phase, peristaltic esophageal waves transport the bolus into the stomach Fig. The swallowing network and presumed ICU-related factors for dysphagia. Oropharyngeal dysphagia in general can be caused by either 1 severe neurological impairment, affecting a the central nervous system directly e.

In critically ill patients on the ICU, the etiology of dysphagia post-extubation appears less clear. Six potential key mechanisms for the development of ICU-acquired swallowing disorders including PED were previously suggested [ 4 ]: 1 direct trauma caused by endotracheal and tracheostomy tubes, 2 neuromyopathy resulting in muscular weakness, 3 diminished laryngeal sensory function, 4 an impaired sensorium, reflecting a more centrally located problem, 5 gastroesophageal reflux, and 6 dyssynchronous breathing and swallowing.

In detail, direct trauma 1 seems an obvious and major mechanism in ICU-acquired swallowing dysfunction Fig. Artificial tubes of any kind, e.Radiation-induced esophagitis, the inflammation of the esophagus, is an unpleasant but temporary side effect of radiation therapy. Esophagitis is common in people who receive radiation therapy to the chest area for cancer of the esophagus as well as other cancers, including lung cancer and lymphoma.

Esophagitis feels like an internal sunburn and usually develops two to three weeks after the initiation of radiation therapy. In addition, the person might feel a sharp, burning pain or food getting stuck in the chest when swallowing. The cells that form the lining of the esophagus renew themselves rapidly and are vulnerable to chemotherapy and radiation.

Unlike chemotherapy, which affects the entire body because it is distributed throughout the bloodstream, radiation only affects the body structures within the irradiated area. The longer the radiation field the area of the body receiving radiationthe more the esophagus is included and the greater the incidence of esophagitis.

And the higher the daily dose of radiation, the more likely it is the person will develop esophagitis. A lower daily dose of radiation can reduce the severity and likelihood of esophagitis, and keeping the length of the field as confined as possible is helpful. When it is necessary to treat a long field, giving a planned break of one week halfway through the treatment is prudent.

A commercially available drug called Ethyol amifostinewhich is a radiation protector, can be administered via injection 30 minutes prior to each radiation treatment. This can reduce radiation esophagitis and has been studied most extensively in the setting of lung cancer. Extending its use to other situations is under investigation. The goals of treating esophagitis are to keep the person comfortable and to maintain nutrition, body weight, and fluid intake.

High-calorie liquids, puddings, and custards are good choices. Prescriptions are available to numb, coat, and reduce inflammation in the esophagus. Pain medication can also be prescribed. Occasionally, people develop a fungal infection of the esophagus, which is treated with an antibiotic. Typically, radiation therapy is not interrupted. Once radiation is completed or suspended, esophagitis usually resolves uneventfully within two to four weeks.

The person can resume a regular diet, and esophagitis is not likely to recur. About CURE. About Advertise Contact TargetedOnc. Carol L. Kornmehl, MD Carol L. Kornmehl, MD. Related Content: Publications Esophageal Cancer. Making Cents of Mesothelioma. Latest News.

radiation induced dysphagia icd 10

View More Latest News.The code K The Tabular List of Diseases and Injuries is a list of ICD codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more.

The following references are applicable to the code K The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD code s. The following references for the code K The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:. The ICD code K The Diagnostic Related Groups DRGs are a patient classification scheme which provides a means of relating the type of patients a hospital treats.

The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong.

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You may feel pain or have trouble swallowing. The most common problem with the esophagus is GERD gastroesophageal reflux disease. With GERD, a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it.

radiation induced dysphagia icd 10

Over time, GERD can cause damage to the esophagus. Other problems include heartburn, cancer, and eosinophilic esophagitis. Doctors may use various tests to make a diagnosis. These include imaging tests, an upper endoscopy, and a biopsy.

Treatment depends on the problem. Some problems get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery. Previous Code: K Related Codes. Next Code: K Version Billable Code.

ICD 10 CM Chapter Specific Guidelines I. C13

ICD K


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