Find information on Globus Hystericus, including clinical features, diagnosis, and treatment. This resource covers relevant medical coding terms, ICD-10 codes for Globus Pharyngeus (its current accepted term), and documentation guidelines for healthcare professionals. Learn about the symptoms, differential diagnosis, and management of this functional voice disorder previously known as Globus Hystericus, exploring its connection to psychological factors and somatic symptom disorder. This guide supports accurate clinical documentation and appropriate medical billing practices related to this condition.
Also known as
Other somatoform disorders
Includes globus hystericus, a sensation of a lump in the throat.
Symptoms and signs involving appearance and behaviour
Covers abnormalities of sensation and perception, potentially related to globus.
Other specified diseases of upper respiratory tract
May be used if physical causes are ruled out and symptoms persist.
Follow this step-by-step guide to choose the correct ICD-10 code.
Sensation of lump/foreign body in throat?
When to use each related code
| Description |
|---|
| Sensation of lump in throat |
| Functional dyspepsia |
| Somatic symptom disorder |
Coding Globus Hystericus without sufficient clinical documentation to support a specific diagnosis can lead to claim denials and inaccurate quality reporting. ICD-10 coding requires specificity.
Miscoding Globus Hystericus as a solely physical disorder instead of a somatic symptom disorder (F45.8) can impact reimbursement and statistical analysis. CDI specialist review is crucial.
Insufficient documentation linking the symptoms to Globus Hystericus creates audit risk. Clear documentation of the diagnosis and ruling out other conditions is essential for medical coding compliance.
Patient presents with complaints consistent with globus hystericus, also known as globus pharyngeus or globus sensation. The patient describes a persistent sensation of a lump or foreign body in the throat, tightness in the throat, or difficulty swallowing, although swallowing studies and physical examination reveal no esophageal obstruction or abnormalities. Symptoms are intermittent and often worsen with stress or anxiety. The patient denies dysphagia, odynophagia, or weight loss. No history of GERD, LPR, or other esophageal pathology. Differential diagnosis includes esophageal stricture, esophageal web, Zenker's diverticulum, eosinophilic esophagitis, and anxiety disorders. However, these have been ruled out based on the patient's history, physical examination, and negative diagnostic testing, including a barium swallow study. The diagnosis of globus hystericus is made based on the characteristic symptoms and exclusion of other organic causes. Treatment plan includes patient education and reassurance regarding the benign nature of the condition. Cognitive behavioral therapy (CBT) and stress management techniques will be considered for anxiety management. Follow-up scheduled in four weeks to reassess symptoms and adjust the treatment plan as needed. ICD-10 code R45.0 (Symptoms and signs involving the throat and chest) and CPT code 99213 (Office or other outpatient visit for the evaluation and management of an established patient) are appropriate for this encounter.