Is R13.1 a billable ICD-10-CM code?

No. R13.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R13.1 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 R13.1?

R13.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R13.1

R13.1 — Dysphagia

Non-billable headerICD-10-CM

R13.1 is a non-billable header ICD-10-CM code for dysphagia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

psychogenic dysphagia (F45.8)

Code first

The underlying condition must be sequenced before this code.

, if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)

Risk adjustment

R13.1 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.

Code to one of these instead R13.1

6 child codes. Green means billable.

Related codes at this level

Codes that share R13. If R13.1 is not quite right, the correct code is usually one of these.

R13.0Aphagia

Questions about R13.1

Is R13.1 a billable ICD-10-CM code?: No. R13.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R13.1 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 R13.1?: R13.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.