ICD-10 Coding for Xarelto Usage(I48.0, I82.401)
Complete ICD-10-CM coding and documentation guide for Xarelto Usage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Xarelto Usage
I48Primary Range
Atrial Fibrillation and Flutter
Primary range for conditions treated with Xarelto, especially atrial fibrillation.
Embolism and Thrombosis
Relevant for coding deep vein thrombosis and pulmonary embolism treated with Xarelto.
Type 2 Diabetes Mellitus
Used when coding diabetes with complications, such as peripheral angiopathy, treated with Xarelto.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I48.0 | Paroxysmal atrial fibrillation | Use when documenting paroxysmal atrial fibrillation treated with Xarelto. |
|
| I82.401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity | Use for acute DVT treated with Xarelto, specifying laterality. |
|
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 Xarelto use
Essential facts and insights about Xarelto Usage
Primary ICD-10-CM Codes for xarelto
Decision Criteria
clinical Criteria
- Patient has paroxysmal AFib confirmed by ECG.
Applicable To
- Paroxysmal AFib
Excludes
- Chronic atrial fibrillation
Clinical Validation Requirements
- ECG showing irregularly irregular rhythm
- CHA₂DS₂-VASc score ≥2
Code-Specific Risks
- Misclassification as chronic AFib
Coding Notes
- Ensure documentation specifies type of AFib for accurate coding.
I82.401 - Acute embolism and thrombosis of unspecified deep veins of right lower extremity
Use for acute DVT treated with Xarelto, specifying laterality.
Applicable To
- Acute DVT
Excludes
- Chronic DVT
Clinical Validation Requirements
- Duplex ultrasound showing noncompressible vein
- D-dimer >500 ng/mL
Coding Notes
Document laterality and specific vein involved.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of anticoagulants
Z79.01Differential 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 Xarelto Usage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I48.0.
Impact
Clinical: Impacts treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document laterality in clinical notes.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Code as acute if current episode is new.
Impact
Inadequate documentation of anticoagulation indication.
Mitigation Strategy
Ensure all anticoagulation therapy is linked to a specific condition.
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 Xarelto Usage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Xarelto Usage
Use these documentation templates to ensure complete and accurate documentation for Xarelto Usage. These templates include all required elements for proper coding and billing.
Atrial Fibrillation Management
Specialty: CardiologyRequired Elements
- Type of AFib
- CHA₂DS₂-VASc score
- Anticoagulation details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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