ICD-10 Coding for Premature Ventricular Contractions(I49.3)
Complete ICD-10-CM coding and documentation guide for Premature Ventricular Contractions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Premature Ventricular Contractions
I49.0-I49.9Primary Range
Other cardiac arrhythmias
This range includes codes for various types of cardiac arrhythmias, including premature ventricular contractions.
Key Information: ICD-10 code for premature ventricular contractions
Essential facts and insights about Premature Ventricular Contractions
Primary ICD-10-CM Code for premature ventricular contraction
Decision Criteria
clinical Criteria
- Presence of ventricular ectopy on ECG
documentation Criteria
- Documentation specifies 'ventricular premature depolarization'
Applicable To
- Ventricular ectopy
- Ventricular extrasystoles
Excludes
- Bradycardia (R00.1)
Clinical Validation Requirements
- ECG showing QRS >120ms
- Holter monitor indicating PVC burden >10%
- Echocardiogram if burden >20%
Code-Specific Risks
- Misuse with R00.1 due to Excludes1 note
- Using unspecified codes when specific type is known
Coding Notes
- Ensure documentation specifies 'depolarization' to align with ICD-10 terminology.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Heart failure, unspecified
I50.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified premature depolarization
I49.40Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Premature Ventricular Contractions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I49.3.
Impact
Clinical: Leads to inaccurate diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate providers on specific terminology., Implement documentation audits.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the type of premature depolarization.
Impact
Incorrectly coding I49.3 with R00.1.
Mitigation Strategy
Review Excludes1 notes during coding.
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 Premature Ventricular Contractions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Premature Ventricular Contractions
Use these documentation templates to ensure complete and accurate documentation for Premature Ventricular Contractions. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Subjective symptoms
- Objective test results
- Assessment and plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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