ICD-10 Coding for Arteriovenous Fistula(I77.0)
Complete ICD-10-CM coding and documentation guide for Arteriovenous Fistula. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Arteriovenous Fistula
Key Information: ICD-10 code for acquired arteriovenous fistula
Essential facts and insights about Arteriovenous Fistula
Primary ICD-10-CM Code for arteriovenous fistula
Decision Criteria
clinical Criteria
- Confirmed acquired nature of the fistula through clinical evaluation.
documentation Criteria
- Clear documentation of the fistula being acquired, not congenital.
Applicable To
- Acquired AV fistula
Excludes
- Congenital arteriovenous fistula (Q27.3)
Clinical Validation Requirements
- Imaging report confirming no congenital anomalies
- Operative note confirming iatrogenic or traumatic origin
Code-Specific Risks
- Confusion with congenital AV fistula if documentation is unclear.
Coding Notes
- Ensure documentation specifies 'acquired' to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dependence on renal dialysis
Z99.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Congenital arteriovenous fistula
Q27.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Arteriovenous Fistula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.0.
Impact
Clinical: Inadequate clinical documentation., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Ensure detailed documentation of the surgical approach.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'acquired' to use I77.0.
Impact
Incomplete documentation of AVF creation approach.
Mitigation Strategy
Use structured templates to ensure all necessary details are captured.
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 Arteriovenous Fistula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Arteriovenous Fistula
Use these documentation templates to ensure complete and accurate documentation for Arteriovenous Fistula. These templates include all required elements for proper coding and billing.
Post-operative assessment of AVF
Specialty: NephrologyRequired Elements
- Thrill and bruit assessment
- Vein diameter measurement
- Flow volume assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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