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ICD-10 Coding for AV Nodal Reentrant Tachycardia(I47.19)

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

Also known as:

AVNRTAtrioventricular Nodal Reentrant Tachycardia

Related ICD-10 Code Ranges

Complete code families applicable to AV Nodal Reentrant Tachycardia

I47.0-I47.9Primary Range

Paroxysmal tachycardia

This range includes codes for various types of paroxysmal tachycardia, including AVNRT.

Key Information: ICD-10 code for AVNRT

Essential facts and insights about AV Nodal Reentrant Tachycardia

The ICD-10 code for AV Nodal Reentrant Tachycardia (AVNRT) is I47.19.

Primary ICD-10-CM Code for avnrt

Other supraventricular tachycardia
Billable Code

Decision Criteria

clinical Criteria

  • ECG shows r' deflection in aVR and V1

documentation Criteria

  • EP study confirms dual AV nodal pathways

Applicable To

  • AV Nodal Reentrant Tachycardia (AVNRT)
  • AV Reentrant Tachycardia (AVRT)

Excludes

  • Ventricular tachycardia (I47.2)

Clinical Validation Requirements

  • ECG showing r' deflection in leads aVR and V1
  • EP study confirming dual AV nodal pathways

Code-Specific Risks

  • Confusion with other types of supraventricular tachycardia
  • Misclassification without proper EP study documentation

Coding Notes

  • Ensure documentation specifies AVNRT and includes ECG and EP study findings.

Ancillary Codes

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

Tachycardia, unspecified

R00.0
Use when tachycardia is present but not yet specified as AVNRT.

Differential Codes

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

Supraventricular tachycardia

I47.1
Use when specific type of SVT is not determined.

Ventricular tachycardia

I47.2
Use when tachycardia originates from the ventricles.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting AV Nodal Reentrant Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.19.

Impact

Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.

Mitigation Strategy

Ensure detailed ECG and EP study documentation., Use specific terminology like 'AVNRT'.

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts accuracy of patient records and data analytics.

Mitigation Strategy

Ensure EP study documentation confirms AVNRT.

Impact

Using I47.19 without proper documentation.

Mitigation Strategy

Implement dual verification of ECG and EP study documentation.

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 AV Nodal Reentrant Tachycardia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for AV Nodal Reentrant Tachycardia

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

Cardiology Consult for AVNRT

Specialty: Cardiology

Required Elements

  • Chief Complaint
  • ECG Findings
  • EP Study Results
  • Final Diagnosis

Example Documentation

Chief Complaint: Palpitations. ECG: r' deflection in V1. EP Study: Dual pathways confirmed. Final Diagnosis: Typical slow-fast AVNRT.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has SVT, will schedule ablation.
Good Documentation Example
12-lead ECG shows rSR' in V1 and r' in aVR. EP study demonstrated dual AV nodal physiology with successful induction of slow-fast AVNRT.
Explanation
The good example provides specific ECG and EP study findings, confirming AVNRT.

Need help with ICD-10 coding for AV Nodal Reentrant Tachycardia? Ask your questions below.

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