ICD-10 Coding for Aphasia and Costovertebral Angle Tenderness(I69.320, R10.819)
Complete ICD-10-CM coding and documentation guide for Aphasia and Costovertebral Angle Tenderness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aphasia and Costovertebral Angle Tenderness
I69.3-I69.4Primary Range
Sequelae of cerebrovascular disease
This range includes codes for aphasia as a residual effect of cerebrovascular accidents.
Other abdominal and pelvic pain
This range includes codes for costovertebral angle tenderness as a symptom.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I69.320 | Aphasia following cerebral infarction | Use when aphasia is directly linked to a previous cerebral infarction. |
|
| R10.819 | Abdominal tenderness, unspecified site | Use when CVA tenderness is present without a confirmed diagnosis. |
|
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 aphasia post-stroke
Essential facts and insights about Aphasia and Costovertebral Angle Tenderness
Primary ICD-10-CM Codes for aphasia costovertebral angle
Decision Criteria
clinical Criteria
- Aphasia must be a direct result of a previous stroke.
Applicable To
- Aphasia as a result of a stroke
Excludes
- Aphasia due to other causes
Clinical Validation Requirements
- Brain MRI/CT showing infarct location
- Speech-language pathology assessment
Code-Specific Risks
- Incorrectly coding as resolved when deficits persist
Coding Notes
- Ensure documentation specifies the link between aphasia and the stroke.
R10.819 - Abdominal tenderness, unspecified site
Use when CVA tenderness is present without a confirmed diagnosis.
Applicable To
- Costovertebral angle tenderness
Excludes
- Specific abdominal pain diagnoses
Clinical Validation Requirements
- Physical exam showing CVA tenderness
- Urinalysis or imaging confirming underlying cause
Coding Notes
Document the presence of CVA tenderness and any related findings.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aphasia and Costovertebral Angle Tenderness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.320.
Impact
Clinical: Ambiguity in patient records., Regulatory: Potential for coding errors., Financial: Incorrect reimbursement.
Mitigation Strategy
Specify 'cerebrovascular accident' or 'costovertebral angle tenderness'.
Impact
Reimbursement: Incorrect coding may lead to lower DRG reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use I69.320 for ongoing aphasia due to past stroke.
Impact
Using history code when residuals persist.
Mitigation Strategy
Regular training on ICD-10 updates.
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 Aphasia and Costovertebral Angle Tenderness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aphasia and Costovertebral Angle Tenderness
Use these documentation templates to ensure complete and accurate documentation for Aphasia and Costovertebral Angle Tenderness. These templates include all required elements for proper coding and billing.
Aphasia post-stroke
Specialty: NeurologyRequired Elements
- Patient history
- Speech assessment results
- Imaging findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Aphasia and Costovertebral Angle Tenderness? Ask your questions below.