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ICD-10 Coding for Angioneurotic Edema(T78.3XXA, D84.1)

Complete ICD-10-CM coding and documentation guide for Angioneurotic Edema. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

AngioedemaQuincke's EdemaHereditary Angioedema

Related ICD-10 Code Ranges

Complete code families applicable to Angioneurotic Edema

T78.3Primary Range

Angioneurotic edema

Primary code range for allergic or non-hereditary angioedema.

Hereditary angioedema

Specific code for hereditary angioedema, requiring genetic confirmation.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
T78.3XXAAngioneurotic edema, initial encounterUse for initial encounters of angioedema not confirmed as hereditary.
  • Documentation of allergen exposure
  • Response to antihistamines
D84.1Hereditary angioedemaUse when hereditary angioedema is confirmed by lab tests.
  • Low C4 levels
  • Low C1-INH antigen/function

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 angioneurotic edema

Essential facts and insights about Angioneurotic Edema

The ICD-10 code for angioneurotic edema is T78.3XXA for initial encounters, while hereditary angioedema is coded as D84.1.

Primary ICD-10-CM Codes for angioneurotic edema

Angioneurotic edema, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of allergen exposure and response to treatment

Applicable To

  • Allergic angioedema
  • Non-hereditary angioedema

Excludes

  • Hereditary angioedema (D84.1)

Clinical Validation Requirements

  • Documentation of allergen exposure
  • Response to antihistamines

Code-Specific Risks

  • Incorrectly using for hereditary cases

Coding Notes

  • Ensure allergen exposure is documented.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Allergy status to ACE inhibitors

Z88.6
Use when angioedema is drug-induced.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hereditary angioedema

D84.1
Confirmed by low C4 and C1-INH levels.

Angioneurotic edema, initial encounter

T78.3XXA
Not confirmed by hereditary lab tests.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Angioneurotic Edema to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T78.3XXA.

Impact

Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denial

Mitigation Strategy

Standardize intake questions, Review documentation before coding

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Potential audit failure, Data Quality: Inaccurate patient records

Mitigation Strategy

Use D84.1 when hereditary angioedema is confirmed.

Impact

Coding hereditary angioedema without lab confirmation.

Mitigation Strategy

Require lab results before coding.

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 Angioneurotic Edema, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Angioneurotic Edema

Use these documentation templates to ensure complete and accurate documentation for Angioneurotic Edema. These templates include all required elements for proper coding and billing.

Acute allergic angioedema

Specialty: Urgent Care

Required Elements

  • History of allergen exposure
  • Response to treatment
  • Family history

Example Documentation

Patient presents with facial swelling after eating peanuts. Administered epinephrine with improvement.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has swelling.
Good Documentation Example
Patient has facial swelling 30 minutes post peanut ingestion, improved with epinephrine.
Explanation
Good example provides specific timing and treatment response.

Need help with ICD-10 coding for Angioneurotic Edema? Ask your questions below.

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