ICD-10 Coding for Right Axis Deviation(R94.31)
Complete ICD-10-CM coding and documentation guide for Right Axis Deviation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Axis Deviation
R94.31Primary Range
Abnormal electrocardiogram [ECG] [EKG]
This code is used for documenting abnormal ECG findings, including right axis deviation when no specific underlying cause is identified.
Key Information: ICD-10 code for right axis deviation
Essential facts and insights about Right Axis Deviation
Primary ICD-10-CM Code for right axis deviation
Decision Criteria
clinical Criteria
- ECG shows QRS axis > +90°
documentation Criteria
- Provider explicitly documents 'right axis deviation'
Applicable To
- Abnormal ECG findings
Excludes
- Normal ECG findings
Clinical Validation Requirements
- ECG report explicitly states 'right axis deviation' or QRS axis > +90°
- No documentation of causal conditions
Code-Specific Risks
- Coding R94.31 without explicit mention of RAD in the documentation.
Coding Notes
- Ensure RAD is explicitly documented in the ECG report.
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.
Left Axis Deviation
R94.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Axis Deviation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R94.31.
Impact
Clinical: Ambiguous clinical data., Regulatory: Potential for coding errors., Financial: May affect reimbursement accuracy.
Mitigation Strategy
Specify 'right' or 'left' axis deviation in documentation.
Impact
Reimbursement: May lead to lower reimbursement if RAD is not linked to an underlying condition., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure the provider's documentation explicitly states 'right axis deviation'.
Impact
Risk of coding errors due to vague ECG interpretations.
Mitigation Strategy
Ensure ECG reports are detailed and specify axis deviation.
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 Right Axis Deviation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Axis Deviation
Use these documentation templates to ensure complete and accurate documentation for Right Axis Deviation. These templates include all required elements for proper coding and billing.
Cardiology Clinic Note
Specialty: CardiologyRequired Elements
- Rhythm
- Rate
- Axis
- Intervals
- Significant Findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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