ICD-10 Coding for Ventricular Tachycardia(I47.2, I47.21)
Complete ICD-10-CM coding and documentation guide for Ventricular Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ventricular Tachycardia
I47-I49Primary Range
Paroxysmal tachycardia and other cardiac arrhythmias
This range includes codes for ventricular tachycardia and related arrhythmias.
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 ventricular tachycardia is confirmed by ECG or electrophysiology study. |
|
| I47.21 | Torsades de Pointes | Use for polymorphic VT with documented QT prolongation. |
|
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 Tachycardia
Primary ICD-10-CM Codes for ventricular tachycardia
Decision Criteria
clinical Criteria
- ECG shows wide QRS complex with AV dissociation.
coding Criteria
- Use I47.2 when documentation specifies ventricular tachycardia.
Applicable To
- Sustained ventricular tachycardia
- Non-sustained ventricular tachycardia
Excludes
- Torsades de Pointes (I47.21)
Clinical Validation Requirements
- ECG confirmation showing wide QRS complex
- AV dissociation
- Capture or fusion beats
Code-Specific Risks
- Misuse without ECG confirmation
- Confusion with Torsades de Pointes
Coding Notes
- Ensure ECG documentation is available to support the use of I47.2.
I47.21 - Torsades de Pointes
Use for polymorphic VT with documented QT prolongation.
Applicable To
- Polymorphic ventricular tachycardia with prolonged QT interval
Clinical Validation Requirements
- ECG showing polymorphic VT with QT prolongation
Coding Notes
Ensure QT interval prolongation is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tachycardia, unspecified
R00.0Differential 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 Tachycardia 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 documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure specific type of tachycardia is documented., Use templates to guide documentation.
Impact
Reimbursement: May lead to incorrect billing and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider for ECG results confirming VT.
Impact
Lack of ECG documentation for VT coding.
Mitigation Strategy
Ensure ECG results are included in the medical record.
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 Tachycardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ventricular Tachycardia
Use these documentation templates to ensure complete and accurate documentation for Ventricular Tachycardia. These templates include all required elements for proper coding and billing.
Ventricular Tachycardia Documentation
Specialty: CardiologyRequired Elements
- ECG findings
- Duration of VT
- Associated symptoms
- Underlying causes
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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