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

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

Also known as:

PATParoxysmal Supraventricular Tachycardiapsvt

Related ICD-10 Code Ranges

Complete code families applicable to Paroxysmal Atrial Tachycardia

I47-I49Primary Range

Paroxysmal tachycardia

This range includes codes for various types of paroxysmal tachycardia, including atrial and supraventricular forms.

Key Information: ICD-10 code for paroxysmal atrial tachycardia

Essential facts and insights about Paroxysmal Atrial Tachycardia

The ICD-10 code for paroxysmal atrial tachycardia is I47.1, confirmed by ECG.

Primary ICD-10-CM Code for paroxysmal atrial tachycardia

Paroxysmal supraventricular tachycardia
Non-billable Code

Decision Criteria

clinical Criteria

  • ECG confirmation of narrow QRS complex with abrupt onset.

documentation Criteria

  • Detailed documentation of ECG findings and symptoms.

Applicable To

  • Paroxysmal atrial tachycardia

Excludes

  • Atrial fibrillation (I48.0)

Clinical Validation Requirements

  • ECG showing narrow QRS complex with abrupt onset and termination
  • Holter monitor capturing episodes of PAT

Code-Specific Risks

  • Risk of misclassification if ECG is not available or not interpreted correctly.

Coding Notes

  • Ensure ECG documentation is available to support the use of I47.1.

Ancillary Codes

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

Paroxysmal tachycardia, unspecified

I47.9
Use when documentation lacks confirmation of atrial origin.

Differential Codes

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

Paroxysmal atrial fibrillation

I48.0
Irregularly irregular rhythm on ECG.

Tachycardia, unspecified

R00.0
Use only when specific type of tachycardia is not confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Paroxysmal 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: Leads to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Ensure detailed documentation of ECG findings., Use specific terminology.

Impact

Reimbursement: May lead to incorrect billing and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Query provider to confirm if tachycardia is paroxysmal and supraventricular.

Impact

Using I47.9 when I47.1 is appropriate.

Mitigation Strategy

Ensure ECG documentation supports code selection.

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 Paroxysmal Atrial Tachycardia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Paroxysmal Atrial Tachycardia

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

Emergency Department Presentation

Specialty: Cardiology

Required Elements

  • Onset and termination details
  • ECG findings
  • Associated symptoms

Example Documentation

Patient presents with sudden palpitations. ECG shows narrow QRS tachycardia at 180 bpm.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has tachycardia.
Good Documentation Example
12-lead ECG shows paroxysmal narrow-complex tachycardia at 180 bpm with abrupt termination.
Explanation
The good example provides specific ECG findings and details of the tachycardia.

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

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