Find information on tongue swelling diagnosis, including clinical documentation, medical coding (ICD-10 codes), and differential diagnosis. Explore causes of swollen tongue, such as angioedema, allergic reactions, infections, and trauma. Learn about symptoms, examination, and treatment options for tongue edema or macroglossia. Resources for healthcare professionals, including coding guidelines and clinical resources related to glossitis and other tongue disorders.
Also known as
Glossitis and other diseases of tongue
Covers various tongue conditions including swelling.
Localized swelling, mass and lump, head
Includes swelling in the head region, which could encompass the tongue.
Swelling and edema complicating a procedure
Describes swelling as a complication of a medical procedure affecting the tongue.
Unspecified disease of upper respiratory tract
May be applicable if tongue swelling relates to an upper respiratory issue.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tongue swelling due to an allergic reaction?
Yes
Is there angioedema?
No
Is the swelling due to a medication?
When to use each related code
Description |
---|
Tongue swelling |
Angioedema |
Glossitis |
Using unspecified codes like R22.0 (Swelling of tongue) without documenting the cause can lead to claim denials and lower reimbursement.
Failing to code the underlying etiology of tongue swelling (e.g., allergy, infection, trauma) impacts accurate DRG assignment and quality metrics.
Incorrectly coding glossodynia (painful tongue) as tongue swelling (K14.8) can lead to inaccurate diagnosis data and affect patient care.
Patient presents with tongue swelling (glossomegaly, macroglossia), onset [duration]. Patient reports [symptoms, e.g., difficulty speaking (dysarthria), swallowing (dysphagia), breathing (dyspnea), or altered taste (dysgeusia)]. Severity of swelling described as [mild, moderate, severe]. Onset associated with [potential triggers, e.g., trauma, allergy, medication, infection, or idiopathic]. Review of systems reveals [related symptoms or pertinent negatives]. Physical exam findings include [objective description of tongue: size, color, texture, presence of lesions, indentation from teeth]. Airway assessed and deemed [patent, compromised]. Vital signs stable, including oxygen saturation [value] on room air. Differential diagnosis includes angioedema, cellulitis, Ludwig's angina, amyloidosis, hypothyroidism, acromegaly, and medication side effects. Preliminary diagnosis of tongue swelling with suspected etiology of [etiology if identifiable, otherwise "unknown"]. Ordered [diagnostic tests, e.g., CBC, CMP, allergy testing, imaging if indicated]. Treatment plan includes [e.g., observation, medication for allergy or infection, airway management if necessary, referral to specialist such as allergist, otolaryngologist, or endocrinologist as indicated]. Patient education provided regarding [relevant topics, e.g., monitoring symptoms, potential complications, medication instructions]. Follow-up scheduled in [timeframe].