ICD-10 Coding for Anaphylactic Shock(T78.2XXA, T78.0XXA)
Complete ICD-10-CM coding and documentation guide for Anaphylactic Shock. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anaphylactic Shock
T78.0-T78.2Primary Range
Anaphylactic shock due to adverse food reaction
This range includes codes for anaphylactic shock due to food and unspecified causes.
Anaphylactic shock due to serum
This range is used for anaphylactic reactions following serum administration.
Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
This range is used for anaphylactic reactions due to drugs administered correctly.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T78.2XXA | Anaphylactic shock, unspecified | Use when the cause of anaphylactic shock is not specified. |
|
| T78.0XXA | Anaphylactic shock due to adverse food reaction | Use when anaphylactic shock is clearly linked to food ingestion. |
|
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 anaphylactic shock
Essential facts and insights about Anaphylactic Shock
Primary ICD-10-CM Codes for anaphylactic shock
Decision Criteria
clinical Criteria
- Presence of systemic hypotension and multi-organ involvement
Applicable To
- Anaphylactic shock NOS
Clinical Validation Requirements
- Documented systemic hypotension
- Multi-organ involvement without identified cause
Code-Specific Risks
- Risk of using this code when a more specific cause is known.
Coding Notes
- Ensure documentation specifies the lack of a known trigger.
T78.0XXA - Anaphylactic shock due to adverse food reaction
Use when anaphylactic shock is clearly linked to food ingestion.
Applicable To
- Food-induced anaphylactic shock
Excludes
- Anaphylactic shock due to serum (T80.5)
- Anaphylactic shock due to drug (T88.6)
Clinical Validation Requirements
- Documented ingestion of food
- Temporal relationship to food exposure
Coding Notes
Ensure documentation includes the specific food trigger.
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 Anaphylactic Shock to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T78.2XXA.
Impact
Clinical: May lead to inadequate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to incorrect coding.
Mitigation Strategy
Use specific terminology like 'anaphylactic shock'., Train staff on the importance of precise documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts the accuracy of health data.
Mitigation Strategy
Use the specific code for the known trigger, such as T78.0XXA for food.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Educate coders on the importance of using specific codes.
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 Anaphylactic Shock, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anaphylactic Shock
Use these documentation templates to ensure complete and accurate documentation for Anaphylactic Shock. These templates include all required elements for proper coding and billing.
Emergency Department Anaphylaxis
Specialty: Emergency MedicineRequired Elements
- Timing of reaction
- Symptoms
- Treatment administered
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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