Odynophagia ICD-10 Code: R13.10

Last updated: January 31, 2025

Quick Answer

The ICD-10 code for odynophagia (painful swallowing) is R13.10 (Dysphagia, unspecified). If a specific cause is identified (esophagitis, thrush, etc.), code the underlying condition. Use R13.10 when odynophagia is the presenting symptom being evaluated.

Primary Code Details

CodeDescriptionBillable
R13.10Dysphagia, unspecified
Yes

Related Codes

CodeDescriptionBillable
K20.9Esophagitis, unspecified
Yes
K21.0Gastro-esophageal reflux disease with esophagitis
Yes
B37.81Candidal esophagitis
Yes
R07.0Pain in throat
Yes
J02.9Acute pharyngitis, unspecified
Yes

Documentation Requirements

  • Distinguish odynophagia (painful swallowing) from dysphagia (difficulty swallowing)
  • Document location of pain (oropharyngeal, esophageal)
  • Note associated symptoms (heartburn, regurgitation, weight loss)
  • Document underlying cause if identified

Common Coding Scenarios

Odynophagia - Cause Unknown

Documentation:

"Patient presents with painful swallowing for 1 week. No fever, no rash. EGD scheduled."

Code:

R13.10 - Dysphagia, unspecified

Rationale:

Use R13.10 for odynophagia when the cause is not yet determined and the symptom is the reason for the encounter.

Odynophagia Due to Esophagitis

Documentation:

"Painful swallowing secondary to erosive esophagitis seen on EGD."

Code:

K20.9 - Esophagitis, unspecified

Rationale:

When the underlying cause is identified, code the condition causing the symptom rather than the symptom itself.

Frequently Asked Questions

What is the ICD-10 code for odynophagia?

R13.10 (Dysphagia, unspecified) is used for odynophagia when it's the presenting symptom. If an underlying cause is identified (esophagitis, infection), code the underlying condition instead.

Is there a specific code for painful swallowing?

ICD-10-CM does not have a specific code that distinguishes odynophagia (painful swallowing) from dysphagia (difficulty swallowing). R13.10 is used for both presentations.

When should I code R13.10 vs the underlying cause?

Code R13.10 when odynophagia is being evaluated and no cause has been determined. Once a cause is identified (esophagitis, infection, cancer), code the underlying condition.

Related Resources

Last updated: January 2025. Code data reflects ICD-10-CM 2026 version. This guide is for educational purposes only. Always verify codes against current official guidelines.