R13.0
R13.0: Aphagia
Billable / specific codeICD-10-CM
R13.0 is a billable, specific ICD-10-CM code for aphagia. It is valid for submission on a claim.
Check R13.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- psychogenic aphagia (F50.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Inability to swallow
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R13.0 is named in 14 Medicare coverage policies: 13 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56584Billing and Coding: Surface Electrical Stimulation in the Treatment of Dysphagianot covered
- A52866Billing and Coding: Speech-Language Pathology
- A53052Billing and Coding: Home Health Speech-Language Pathology
- A53057Billing and Coding: Home Health Occupational Therapy
Alphabetic index entries that lead here
- Aphagia
- Deglutition›paralysis
- Paralysis, paralytic›deglutition
Code history
Unchanged in every release from FY2024 to FY2027.