ICD-10 Coding for PEA Arrest(I46.9, I46.8)
Complete ICD-10-CM coding and documentation guide for PEA Arrest. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to PEA Arrest
I46.0-I46.9Primary Range
Cardiac arrest codes
This range includes codes for cardiac arrest, including PEA arrest, which is a type of cardiac arrest.
Symptoms and signs involving the circulatory and respiratory systems
Includes codes for symptoms like hypoxemia that may accompany PEA arrest.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I46.9 | Cardiac arrest, cause unspecified | Use when PEA arrest occurs without a specified underlying cause. |
|
| I46.8 | Cardiac arrest due to other underlying condition | Use when PEA arrest is due to a documented underlying condition. |
|
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 PEA arrest
Essential facts and insights about PEA Arrest
Primary ICD-10-CM Codes for pea arrest
Decision Criteria
clinical Criteria
- Absence of pulse with organized electrical activity on ECG
documentation Criteria
- Lack of specified underlying cause
Applicable To
- Pulseless electrical activity without specified cause
Excludes
- Cardiac arrest due to specific causes (use I46.8)
Clinical Validation Requirements
- Documented absence of pulse
- ECG showing organized electrical activity
Code-Specific Risks
- Misclassification if underlying cause is known but not documented
Coding Notes
- Ensure documentation clearly states the absence of pulse and any ECG findings.
I46.8 - Cardiac arrest due to other underlying condition
Use when PEA arrest is due to a documented underlying condition.
Applicable To
- Cardiac arrest due to conditions like hypoxia, sepsis
Excludes
- Cardiac arrest without specified cause (use I46.9)
Clinical Validation Requirements
- Documented underlying condition causing arrest
Coding Notes
Ensure the underlying condition is documented and coded first.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting PEA Arrest to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I46.9.
Impact
Clinical: May lead to misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Ensure pulse checks are documented by two providers.
Impact
Reimbursement: May affect DRG assignment and reimbursement, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies if an underlying cause is present.
Impact
Lack of documented pulse verification can lead to audit issues.
Mitigation Strategy
Ensure pulse checks are documented by two providers.
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 PEA Arrest, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for PEA Arrest
Use these documentation templates to ensure complete and accurate documentation for PEA Arrest. These templates include all required elements for proper coding and billing.
Emergency Department PEA Arrest
Specialty: Emergency MedicineRequired Elements
- ECG Findings
- Pulse Verification
- Reversible Causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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