ICD-10 Coding for Paroxysmal Supraventricular Tachycardia(I47.1, I47.9, R00.0)
Complete ICD-10-CM coding and documentation guide for Paroxysmal Supraventricular Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paroxysmal Supraventricular Tachycardia
I47-I49Primary Range
Paroxysmal tachycardia and other cardiac arrhythmias
This range includes codes for various types of cardiac arrhythmias, including PSVT.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I47.1 | Supraventricular tachycardia | Use when PSVT is confirmed by ECG and documented as paroxysmal. |
|
| I47.9 | Paroxysmal tachycardia, unspecified | Use when the provider documents 'paroxysmal tachycardia' without specifying SVT. |
|
| R00.0 | Tachycardia, unspecified | Use when documentation lacks 'paroxysmal' or 'supraventricular' specification. |
|
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 paroxysmal supraventricular tachycardia
Essential facts and insights about Paroxysmal Supraventricular Tachycardia
Primary ICD-10-CM Codes for paroxysmal supraventricular tachycardia
Decision Criteria
clinical Criteria
- ECG confirmation of narrow QRS complex
documentation Criteria
- Documentation of abrupt onset and termination
Applicable To
- Paroxysmal supraventricular tachycardia
Excludes
- Ventricular tachycardia (I47.2)
Clinical Validation Requirements
- ECG showing narrow QRS complex (120-220 bpm)
- Abrupt onset and termination
- Absence of P waves
Code-Specific Risks
- Confusion with sinus tachycardia if not properly documented
Coding Notes
- Ensure documentation specifies 'paroxysmal' and includes ECG confirmation.
I47.9 - Paroxysmal tachycardia, unspecified
Use when the provider documents 'paroxysmal tachycardia' without specifying SVT.
Excludes
- Specific types of paroxysmal tachycardia (I47.0-I47.2)
Clinical Validation Requirements
- Documentation lacks specificity for type of paroxysmal tachycardia
Coding Notes
Ensure documentation specifies 'paroxysmal' even if type is unspecified.
R00.0 - Tachycardia, unspecified
Use when documentation lacks 'paroxysmal' or 'supraventricular' specification.
Excludes
- Paroxysmal tachycardia (I47.0-I47.9)
Clinical Validation Requirements
- Heart rate >100 bpm without PSVT characteristics
Coding Notes
Use for general tachycardia when specific type is not documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paroxysmal Supraventricular 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: Inaccurate diagnosis representation., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure ECG results are included in patient records., Educate providers on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'paroxysmal' and includes ECG confirmation.
Impact
Using I47.1 without proper documentation of PSVT.
Mitigation Strategy
Ensure all documentation includes ECG confirmation and paroxysmal nature.
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 Supraventricular Tachycardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paroxysmal Supraventricular Tachycardia
Use these documentation templates to ensure complete and accurate documentation for Paroxysmal Supraventricular Tachycardia. These templates include all required elements for proper coding and billing.
Acute PSVT episode in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Onset and duration of symptoms
- ECG findings
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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