ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R13.10

Billable / Specific

Dysphagia, unspecified

R13
Block
1
Synonyms
456
LCDs
16
Payer Policies
3
Linked CPTs

About ICD-10-CM R13.10

ICD-10-CM code R13.10 represents Dysphagia, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R13). The 2026 edition of ICD-10-CM R13.10 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R13.10. Per CMS ICD-10-CM Tabular 2026.

  • Difficulty in swallowing NOS

Medicare LCD Coverage for R13.10

Local Coverage Determinations (LCDs) from CMS MACs that list R13.10 as a covered diagnosis.

456 LCDs

Showing top 10 of 456 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R13.10.

16 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Speech-Language Pathology
Policy ID: ART-52866
Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Swallowing Studies for Dysphagia
Policy ID: ART-56621

3 Aetna

Speech Therapy
Policy ID: CPB-0243
Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) and Laryngopharyngeal Endoscopic Esthesiometer (LPEER)
Policy ID: CPB-0248
Dysphagia Therapy
Policy ID: CPB-0625

CPT Codes Commonly Billed with R13.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

3 linkages
  • 43235 Diagnostic EGD — abdominal pain, nausea, vomiting, GERD, gastric ulcer, gastritis, hematemesis, melena, Barrett esophagus, dysphagia, esophagitis, weight loss, iron deficiency anemia, polyp Gastroenterology
  • 91035 Esophageal pH monitoring — GERD evaluation, heartburn, retrosternal chest pain, dysphagia, asthma with suspected GERD, chronic cough, Barrett Gastroenterology
  • 42820 Tonsillectomy — chronic tonsillitis, hypertrophic tonsils, sleep apnea, peritonsillar abscess, acute tonsillitis, mouth breathing, dysphagia ENT

Convert R13.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R13.10 78720 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R13.10, Billing FAQ

Is ICD-10 code R13.10 billable? +

Yes, R13.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R13.10? +

ICD-10 R13.10 includes: Difficulty in swallowing NOS.

What CPT codes are commonly billed with R13.10? +

Procedures frequently paired with R13.10 include: 43235, 91035, 42820.

What ICD-9 codes does R13.10 map to? +

Per CMS GEMs, R13.10 maps to ICD-9 codes: 78720. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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