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ICD-10 Coding for Atrial Tachycardia(I47.1, I47.89)

Complete ICD-10-CM coding and documentation guide for Atrial Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Paroxysmal Atrial TachycardiaSupraventricular Tachycardia

Related ICD-10 Code Ranges

Complete code families applicable to Atrial Tachycardia

I47-I49Primary Range

Other cardiac arrhythmias

This range includes codes for various types of cardiac arrhythmias, including atrial tachycardia.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I47.1Supraventricular tachycardiaUse when atrial tachycardia is confirmed by ECG and specified as paroxysmal or supraventricular.
  • ECG showing regular narrow QRS complex with visible P waves
  • Response to adenosine or carotid massage
I47.89Other specified supraventricular tachycardiaUse when focal atrial tachycardia is confirmed with a mapped origin.
  • EP study confirming focal origin
  • 3D mapping report

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for atrial tachycardia

Essential facts and insights about Atrial Tachycardia

The ICD-10 code for atrial tachycardia is I47.1, used for supraventricular tachycardia including paroxysmal atrial tachycardia.

Primary ICD-10-CM Codes for atrial tachycardia

Supraventricular tachycardia
Non-billable Code

Decision Criteria

clinical Criteria

  • ECG shows regular narrow QRS complex with visible P waves.

Applicable To

  • Paroxysmal atrial tachycardia
  • Supraventricular tachycardia

Excludes

Clinical Validation Requirements

  • ECG showing regular narrow QRS complex with visible P waves
  • Response to adenosine or carotid massage

Code-Specific Risks

  • Risk of using unspecified codes when specific type is documented

Coding Notes

  • Ensure ECG confirmation is documented to support the use of this code.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Tachycardia, unspecified

R00.0
Use when the type of tachycardia cannot be determined after workup.

Personal history of other diseases of the circulatory system

Z86.79
Use for resolved cases of atrial tachycardia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Atrial fibrillation

I48.0
Irregular rhythm with absence of distinct P waves on ECG.

Persistent atrial fibrillation

I48.1
Persistent irregular rhythm on ECG.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Atrial Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.1.

Impact

Clinical: May lead to misdiagnosis or incorrect treatment., Regulatory: Increases risk of audit failure., Financial: Potential for claim denials or reduced reimbursement.

Mitigation Strategy

Ensure ECG results are included in all relevant documentation., Train staff on importance of detailed documentation.

Impact

Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Leads to inaccurate clinical data recording.

Mitigation Strategy

Query provider for clarification if documentation is unclear.

Impact

Failure to document ECG findings can lead to audit issues.

Mitigation Strategy

Implement regular training and audits to ensure compliance.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Atrial Tachycardia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Atrial Tachycardia

Use these documentation templates to ensure complete and accurate documentation for Atrial Tachycardia. These templates include all required elements for proper coding and billing.

Acute presentation of atrial tachycardia

Specialty: Cardiology

Required Elements

  • Chief complaint
  • Physical exam findings
  • ECG results
  • Treatment plan

Example Documentation

Patient presents with palpitations and presyncope. ECG shows regular narrow-complex tachycardia. Plan includes admission for EP study.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has fast heart rate.
Good Documentation Example
Sudden onset regular narrow-complex tachycardia at 180 bpm with visible retrograde P waves on ECG, responsive to 6mg adenosine.
Explanation
The good example provides specific ECG findings and treatment response, supporting accurate coding.

Need help with ICD-10 coding for Atrial Tachycardia? Ask your questions below.

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