ICD-10 Coding for Paroxysmal Ventricular Tachycardia(I47.2, I47.20, I47.21, I47.29)
Complete ICD-10-CM coding and documentation guide for Paroxysmal Ventricular Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paroxysmal Ventricular Tachycardia
I47-I49Primary Range
Paroxysmal Tachycardia and Other Cardiac Arrhythmias
This range includes all forms of ventricular tachycardia, including paroxysmal types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I47.2 | Ventricular tachycardia | Use for all documented cases of ventricular tachycardia, including paroxysmal forms. |
|
| I47.20 | Unspecified ventricular tachycardia | Use only when documentation lacks specificity. |
|
| I47.21 | Torsades de pointes | Use only when Torsades de pointes is explicitly documented. |
|
| I47.29 | Other ventricular tachycardia | Use for specific subtypes of VT not otherwise classified. |
|
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 ventricular tachycardia
Essential facts and insights about Paroxysmal Ventricular Tachycardia
Primary ICD-10-CM Codes for paroxysmal ventricular tachycardia
Decision Criteria
clinical Criteria
- ECG findings confirm ventricular origin with wide QRS complex.
documentation Criteria
- Specify 'paroxysmal' and duration of VT in documentation.
Applicable To
- Sustained ventricular tachycardia
- Non-sustained ventricular tachycardia
- Torsades de pointes
Excludes
- Supraventricular tachycardia (I47.1)
Clinical Validation Requirements
- ECG showing ≥3 consecutive ventricular beats ≥120 bpm
- Documentation of sustained vs. non-sustained based on duration
Code-Specific Risks
- Confusion with supraventricular tachycardia
- Incorrect use of unspecified codes
Coding Notes
- Ensure documentation specifies ventricular origin and duration to avoid unspecified codes.
I47.20 - Unspecified ventricular tachycardia
Use only when documentation lacks specificity.
Clinical Validation Requirements
- Lack of specific ECG findings or documentation
Coding Notes
Avoid using unless absolutely necessary due to lack of specificity.
I47.21 - Torsades de pointes
Use only when Torsades de pointes is explicitly documented.
Applicable To
- Torsades de pointes with ECG evidence
Clinical Validation Requirements
- ECG showing prolonged QT interval and characteristic twisting of the points
Coding Notes
Ensure QT interval prolongation is documented.
I47.29 - Other ventricular tachycardia
Use for specific subtypes of VT not otherwise classified.
Applicable To
- Catecholaminergic polymorphic VT
Clinical Validation Requirements
- Specific subtype of VT documented
Coding Notes
Ensure specific subtype is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Supraventricular tachycardia
I47.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paroxysmal Ventricular Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.2.
Impact
Clinical: Inadequate information for treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always specify 'ventricular' and duration in documentation., Include ECG findings.
Impact
Reimbursement: Lower reimbursement due to unspecified code., Compliance: Non-compliance with specificity requirements., Data Quality: Decreased data accuracy and quality.
Mitigation Strategy
Use I47.2 when 'paroxysmal' is documented.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation is specific and complete.
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 Ventricular Tachycardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paroxysmal Ventricular Tachycardia
Use these documentation templates to ensure complete and accurate documentation for Paroxysmal Ventricular Tachycardia. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- ECG findings
- Duration of VT
- Associated symptoms
- Treatment provided
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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