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CPT 91040

Tammy Posted Tue 29th of November, 2016 15:36:10 PM
Would a diagnosis of dysphagia (R13.10) support CPT 91040? I realize it is used for testing atypical chest pain, but does dysphagia also support it for payment?
SuperCoder Answered Wed 30th of November, 2016 02:14:58 AM

Greetings from!


Yes CPT 91040 supports R13.10 but please note that “dysphagia” is not a definitive diagnosis, it is a symptom. There are certain guidelines regarding coding of signs and symptoms.


As per ICD-10 CM official guidelines:- Codes that describe symptoms and signs, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.


Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.


Additional signs and symptoms that may not be associated routinely with a disease process should be coded when present.


We hope this helps.


Please feel free to write if you have any further questions.



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