Facebook tracking pixel
R05
ICD-10-CM
Throat Clearing

Find information on throat clearing diagnosis, including causes, symptoms, and treatment options. Explore clinical documentation requirements, ICD-10 codes (R49.0, R49.8), medical coding guidelines, and differential diagnosis considerations for chronic throat clearing. Learn about related terms like globus sensation, dysphonia, and throat mucus, along with evaluation and management strategies for patients experiencing throat clearing. This resource provides valuable insights for healthcare professionals, coders, and individuals seeking to understand throat clearing.

Also known as

Chronic Throat Clearing
Habitual Throat Clearing
frequent throat clearing

Diagnosis Snapshot

Key Facts
  • Definition : Repeated clearing of the throat, often without a need to do so.
  • Clinical Signs : Frequent throat clearing sounds, possible cough, throat discomfort, feeling of something in the throat.
  • Common Settings : Allergies, reflux, post-nasal drip, vocal overuse, infections, anxiety, tic disorders.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R05 Coding
R49.0

Dysphonia

Covers various voice disorders, including throat clearing as a symptom.

J37

Chronic laryngitis and laryngotracheitis

Inflammation of the larynx can cause throat clearing.

R05

Cough

Throat clearing can sometimes be classified as a type of cough.

F45.8

Other somatoform disorders

May be relevant if throat clearing is a psychogenic tic.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is throat clearing due to a known medical condition?

  • Yes

    Postnasal drip?

  • No

    Habitual throat clearing?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Throat clearing
Reflux laryngitis
Post-nasal drip

Documentation Best Practices

Documentation Checklist
  • Throat clearing frequency/duration
  • Associated symptoms (cough, pain)
  • Onset and triggers of throat clearing
  • Impact on voice/swallowing
  • Prior treatment/diagnosis details

Mitigation Tips

Best Practices
  • Document throat clearing etiology: post-nasal drip, reflux, allergy. ICD-10 J39.2, R09.8
  • CDI: Query physician for specific cause, avoid unspecified diagnosis. ICD-10 best practices
  • Rule out vocal cord dysfunction, GERD. Thorough exam crucial for accurate coding. HCC implications
  • Allergies? Detail triggers, medications. Improve documentation for accurate E/M coding. Compliance
  • Consider speech therapy referral if behavioral. Document for medical necessity, compliance audit

Clinical Decision Support

Checklist
  • Assess throat clearing frequency and duration (ICD-10 R49.0)
  • Explore potential triggers: allergies, reflux, post-nasal drip (SNOMED CT 784.4)
  • Examine throat, larynx for inflammation or abnormalities (ICD-10 J37)
  • Consider vocal cord dysfunction, tic disorders if chronic (ICD-10 J38.5, F95.1)

Reimbursement and Quality Metrics

Impact Summary
  • Throat Clearing reimbursement impacted by accurate ICD-10 coding (R49.0, R09.8) for maximized payment.
  • Quality metrics: Monitor throat clearing diagnoses for potential underlying conditions impacting patient outcomes.
  • Coding accuracy crucial for throat clearing: Avoid unspecified codes, impacting hospital reporting and revenue cycle.
  • Hospital reporting accuracy improved by specific throat clearing diagnosis codes, enabling better resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document throat clearing frequency/severity
  • R09.8 preferred, rule out reflux/allergies
  • Consider vocal cord dysfunction diagnosis
  • Check for post-nasal drip, meds side effects
  • Explore psychogenic causes if organic absent

Documentation Templates

Patient presents with a chief complaint of throat clearing.  Onset of throat clearing was reported as [Onset - e.g., gradual, sudden], [Duration - e.g., two weeks, three months]. Frequency of throat clearing is described as [Frequency - e.g., constant, intermittent, several times per hour].  Patient denies [Pertinent Negatives - e.g., dysphagia, odynophagia, shortness of breath] but reports [Pertinent Positives - e.g., postnasal drip, cough, voice hoarseness, reflux symptoms, globus sensation].  The patient describes the throat clearing as [Character of throat clearing - e.g., dry, wet, productive, non-productive].  Associated symptoms include [List associated symptoms - e.g., rhinorrhea, itchy throat, nasal congestion].  Physical examination reveals [Examination findings - e.g., erythematous oropharynx, clear lungs, normal heart sounds, no palpable cervical lymphadenopathy].  Differential diagnosis includes postnasal drip, laryngopharyngeal reflux, vocal cord dysfunction, tic disorder, and habit cough.  Assessment: Chronic throat clearing likely secondary to [Presumptive Diagnosis - e.g., postnasal drip, laryngopharyngeal reflux]. Plan:  [Treatment plan - e.g., Recommend trial of nasal saline irrigation and intranasal corticosteroids.  Patient education provided regarding behavioral modification techniques to reduce throat clearing.  If symptoms persist, consider referral to otolaryngology for further evaluation.  Follow up in [Duration - e.g., 2 weeks, 1 month]].  ICD-10 code [Appropriate ICD-10 code - e.g., R49.8, J37.0] may be considered based on clinical findings.
Throat Clearing - AI-Powered ICD-10 Documentation