10-13-2017, 06:43 AM | Community Wiki

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Globus Sensation

  1. Default Globus Sensation
    Medical Coding Books
    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!

  2. Default
    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!
    Sincerely,

    Jennifer M. Connell, CPPM, CPCO, CPMA, CPB, COC, CPC, CPC-I, CPC-P, CENTC, CEMA
    AAPC MACRA Proficient, AAPC Approved Instructor



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