R13.0 — Aphagia
R13.0 is a billable, specific ICD-10-CM code for aphagia. It is valid for submission on a claim.
Excludes1 — 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
R13.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move 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 of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How R13.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R13.0.
- Aphagia
- Deglutition›paralysis
- Paralysis, paralytic›deglutition
Related codes at this level
Codes that share R13. If R13.0 is not quite right, the correct code is usually one of these.
Questions about R13.0
- Is R13.0 a billable ICD-10-CM code?
- Yes. R13.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R13.0 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).
- What cannot be coded together with R13.0?
- R13.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.