ICD-10 Coding for Tachycardia(I47.1, I47.2, R00.0)
Complete ICD-10-CM coding and documentation guide for Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tachycardia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I47.1 | Supraventricular tachycardia | Use when documentation specifies supraventricular origin with ECG confirmation. |
|
| I47.2 | Ventricular tachycardia | Use when documentation specifies ventricular origin with ECG confirmation. |
|
| R00.0 | Tachycardia, unspecified | Use when the type of tachycardia is not specified in the documentation. |
|
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 supraventricular tachycardia
Essential facts and insights about Tachycardia
Primary ICD-10-CM Codes for tachycardia
Decision Criteria
clinical Criteria
- Presence of narrow QRS complex on ECG
Applicable To
- AV nodal reentrant tachycardia
- Atrial tachycardia
Clinical Validation Requirements
- ECG showing narrow QRS complex
- Regular rhythm with sudden onset and offset
Code-Specific Risks
- Misclassification as ventricular tachycardia
Coding Notes
- Ensure ECG findings are documented to support code selection.
I47.2 - Ventricular tachycardia
Use when documentation specifies ventricular origin with ECG confirmation.
Applicable To
- Sustained ventricular tachycardia
- Non-sustained ventricular tachycardia
Excludes
- Torsades de pointes (I47.21)
Clinical Validation Requirements
- ECG showing wide QRS complex
- Presence of AV dissociation
Coding Notes
Document ECG findings and any associated electrolyte imbalances.
R00.0 - Tachycardia, unspecified
Use when the type of tachycardia is not specified in the documentation.
Applicable To
- Unspecified tachycardia
Excludes
- Specific types of tachycardia (I47.0-I47.9)
Clinical Validation Requirements
- Heart rate >100 bpm without specific arrhythmia characterization
Coding Notes
Ensure documentation does not specify a more precise type of tachycardia.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for reduced reimbursement due to unspecified coding.
Mitigation Strategy
Ensure ECG results are included in the patient's chart., Train staff on the importance of detailed documentation.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit due to inaccurate coding., Data Quality: Affects data accuracy and quality for clinical research.
Mitigation Strategy
Review documentation for specific arrhythmia type and use the appropriate code.
Impact
High audit risk when using R00.0 without attempting to specify the type of tachycardia.
Mitigation Strategy
Implement regular training sessions on documentation specificity.
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 Tachycardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tachycardia
Use these documentation templates to ensure complete and accurate documentation for Tachycardia. These templates include all required elements for proper coding and billing.
Patient presenting with rapid heart rate
Specialty: CardiologyRequired Elements
- Onset and duration of symptoms
- ECG findings
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Tachycardia? Ask your questions below.