Wiki Globus Sensation

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G
Code: R09.89

Code Name: ICD-10 Code for Other specified symptoms and signs involving the circulatory and respiratory systems

Block: Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

Details: Other specified symptoms and signs involving the circulatory and respiratory systems
Bruit (arterial)
Abnormal chest percussion
Feeling of foreign body in throat
Friction sounds in chest
Chest tympany
Choking sensation
Rales
Weak pulse

Excludes 2: foreign body in throat (T17.2-)
wheezing (R06.2)
R09

Excludes1: acute respiratory distress syndrome (J80)
respiratory arrest of newborn (P28.81)
respiratory distress syndrome of newborn (P22.0)
respiratory failure (J96.-)
respiratory failure of newborn (P28.5)
Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.


Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details on R09.89, ICD-10 Code for Other specified symptoms and signs involving the circulatory and respiratory systems , visit: https://coder.aapc.com/icd-10-codes/

sisadavis

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Wondering if anyone is having claim payment issues when using globus sensation? All ICD crosswalks lead us to F45.8 which is other somatoform disorders that includes globus hystericus and is classified as a mental/behavior code. Which in result, some payers have been denying as outside the scope of our specialty. Other references have led me towards R09.89 that includes choking sensation but does not specify that this covers the feeling of something stuck in the throat. Any info would be appreciated, thanks!
 

JenniferB7

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The description in the ICD-10-CM tabular lists "feeling of foreign body stuck in throat" as an appropriate use of R09.89.

R09.89 - Other specified symptoms and signs involving the circulatory and respiratory systems
Bruit (arterial)
Abnormal chest percussion
Feeling of foreign body in throat
Friction sounds in chest
Chest tympany
Choking sensation
Rales
Weak pulse​

Excludes 2:
foreign body in throat (T17.2-) ---> This is for confirmed foreign body (not a feeling/sensation)
wheezing (R06.2)​

I would code this as R09.89. Hope that helps!
 
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