ICD-10 Coding for Persistent Atrial Fibrillation(I48.19)
Complete ICD-10-CM coding and documentation guide for Persistent Atrial Fibrillation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Persistent Atrial Fibrillation
I48.0-I48.9Primary Range
Atrial Fibrillation and Flutter
This range includes all types of atrial fibrillation and flutter, with specific codes for persistent atrial fibrillation.
Key Information: ICD-10 code for persistent atrial fibrillation
Essential facts and insights about Persistent Atrial Fibrillation
Primary ICD-10-CM Code for persistent atrial fibrillation
Decision Criteria
clinical Criteria
- Atrial fibrillation lasting more than 7 days
documentation Criteria
- Explicit mention of 'persistent' without 'longstanding'
Applicable To
- Persistent atrial fibrillation not specified as longstanding
Excludes
- Chronic atrial fibrillation, unspecified (I48.20)
Clinical Validation Requirements
- ECG findings showing atrial fibrillation
- Documentation of failed cardioversion attempts
- Duration of atrial fibrillation more than 7 days
Code-Specific Risks
- Incorrectly coding as I48.20 when persistent is specified
Coding Notes
- Ensure documentation specifies the duration and any cardioversion attempts.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of other cardiac implants and grafts
Z98.64Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Longstanding persistent atrial fibrillation
I48.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Persistent Atrial Fibrillation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I48.19.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate providers on specific terminology, Use templates to guide documentation
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I48.19 when 'persistent' is documented.
Impact
Risk of audits due to non-specific documentation of atrial fibrillation.
Mitigation Strategy
Ensure documentation specifies type and duration of atrial fibrillation.
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 Persistent Atrial Fibrillation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Persistent Atrial Fibrillation
Use these documentation templates to ensure complete and accurate documentation for Persistent Atrial Fibrillation. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Duration of atrial fibrillation
- Last cardioversion attempt
- Current treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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