Dollars $$ Sense Which Diagnostic Codes Do We Use? Paradoxical Vocal Cord Movement, Vocal Cord Dysfunction, and Spasmodic Dysphonia Dollars $$ Sense
Dollars $$ Sense  |   March 01, 2012
Dollars $$ Sense
Author Affiliations & Notes
  • Dee Adams Nikjeh
    ASHA Health Care Economics Committee, Co-Chair, Special Interest Group 3 Reimbursement Work Group
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Practice Management / Dollars $$ Sense
Dollars $$ Sense   |   March 01, 2012
Dollars $$ Sense
SIG 3 Perspectives on Voice and Voice Disorders, March 2012, Vol. 22, 4-5. doi:10.1044/vvd22.1.4
SIG 3 Perspectives on Voice and Voice Disorders, March 2012, Vol. 22, 4-5. doi:10.1044/vvd22.1.4
There always seems to be a question or two about what diagnostic code to use for paradoxical vocal cord movement (PVCM), vocal cord dysfunction (VCD), and spasmodic dysphonia (SD). One reason is that we are not consistent with terminology. Is it paradoxical vocal cord movement, paradoxical vocal fold movement, paradoxical vocal cord motion, or vocal cord dysfunction? The terms are often used interchangeably, this only adds to the confusion both within and beyond our specialty. Then we throw “spasmodic dysphonia” into the mix. I believe that within our specialty we use this term fairly consistently; however, I often receive an order to evaluate for spasmodic dysphonia when the disorder is actually PVCM. To make matters more perplexing, there are no disorders or diseases specifically named as such in the International Classification of Diseases and Disorders, 9th Revision, Clinical Modification (ICD-9-CM). This Q & A will attempt to answer your questions, at least until the ICD-10 is launched. The ICD-10 implementation has been delayed and the new date has not been released
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