ICD-10 Coding for Ventricular Arrhythmia(I47.2, I47.21, I49.01)
Complete ICD-10-CM coding and documentation guide for Ventricular Arrhythmia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ventricular Arrhythmia
I47-I49Primary Range
Paroxysmal tachycardia and other cardiac arrhythmias
This range includes all ventricular arrhythmias, such as ventricular tachycardia and fibrillation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I47.2 | Ventricular tachycardia | Use when VT is confirmed by ECG or Holter monitor. |
|
| I47.21 | Torsades de Pointes | Use when TdP is confirmed by ECG with prolonged QT interval. |
|
| I49.01 | Ventricular fibrillation | Use when VF is confirmed by defibrillator report. |
|
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 ventricular tachycardia
Essential facts and insights about Ventricular Arrhythmia
Primary ICD-10-CM Codes for ventricular arrhythmia
Decision Criteria
clinical Criteria
- ECG confirmation of VT
Applicable To
- Sustained ventricular tachycardia
- Non-sustained ventricular tachycardia
Excludes
- Supraventricular tachycardia (I47.1)
Clinical Validation Requirements
- ECG showing sustained VT
- Holter monitor confirming VT episodes
Code-Specific Risks
- Misclassification as supraventricular tachycardia
Coding Notes
- Ensure documentation specifies VT type and duration.
I47.21 - Torsades de Pointes
Use when TdP is confirmed by ECG with prolonged QT interval.
Applicable To
- Polymorphic VT with prolonged QT interval
Clinical Validation Requirements
- ECG showing TdP
- QTc interval >500 ms
Coding Notes
Document drug causality if applicable.
I49.01 - Ventricular fibrillation
Use when VF is confirmed by defibrillator report.
Applicable To
- VF without documented cause
Clinical Validation Requirements
- Defibrillator report showing VF
Coding Notes
Ensure VF is documented as primary arrhythmia.
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.
Supraventricular tachycardia
I47.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ventricular Arrhythmia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.2.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Review ECG for QT interval, Include QTc in documentation
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 VT or VF.
Impact
High risk of audit for using unspecified codes.
Mitigation Strategy
Ensure detailed documentation of arrhythmia type.
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 Ventricular Arrhythmia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ventricular Arrhythmia
Use these documentation templates to ensure complete and accurate documentation for Ventricular Arrhythmia. These templates include all required elements for proper coding and billing.
Emergency Department Note for VT
Specialty: CardiologyRequired Elements
- Patient symptoms
- ECG findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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