T18.100AUnspecified foreign body in esophagus causing compression of trachea, initial encounter

T18.100A is the ICD-10-CM diagnosis code for unspecified foreign body in esophagus causing compression of trachea, initial encounter. It belongs to category T18 (foreign body in alimentary tract), block T15-T19 (effects of foreign body entering through natural orifice) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 935.1 (foreign body in esophagus) and E912 (inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation).