ICD-10 · PDGM grouping
R13 Aphagia and dysphagia
All 7 codes in the R13 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
7
Can lead a claim
6
Cannot lead a claim
1
What CMS assigns to R13
6 of the 7 codes group to Neuro Rehabilitation; 1 is assigned no clinical group. None of the 7 is assigned a comorbidity subgroup. 6 of the 7 can lead a claim. CMS attaches a code-first note to 6 of the 7.
Code first
CMS grouper convention 152, on R13.10, R13.11, R13.12, R13.13, R13.14, R13.19. Code first:
- , if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)
Every code in R13
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| R13.0 | Aphagia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R13.1 Dysphagia | ||||
| R13.10 | Dysphagia, unspecified | Can lead a claim, code first applies | B | None |
| R13.11 | Dysphagia, oral phase | Can lead a claim, code first applies | B | None |
| R13.12 | Dysphagia, oropharyngeal phase | Can lead a claim, code first applies | B | None |
| R13.13 | Dysphagia, pharyngeal phase | Can lead a claim, code first applies | B | None |
| R13.14 | Dysphagia, pharyngoesophageal phase | Can lead a claim, code first applies | B | None |
| R13.19 | Other dysphagia | Can lead a claim, code first applies | B | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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