ICD-10 Coding for Arteriovenous Malformation(Q27.3, I67.1)
Complete ICD-10-CM coding and documentation guide for Arteriovenous Malformation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Arteriovenous Malformation
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q27.3 | Congenital malformations of peripheral vascular system | For congenital AVMs in non-cerebral locations, confirmed by genetic testing or imaging. |
|
| I67.1 | Cerebral arteriovenous malformation | For acquired or unspecified cerebral AVMs without hemorrhage. |
|
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 congenital arteriovenous malformation
Essential facts and insights about Arteriovenous Malformation
Primary ICD-10-CM Codes for arteriovenous malformation
Decision Criteria
clinical Criteria
- Presence of congenital AVM confirmed by imaging or genetic testing.
Applicable To
- Hereditary hemorrhagic telangiectasia
- Congenital AVM
Excludes
- Acquired AVM
Clinical Validation Requirements
- Genetic confirmation (e.g., RASA1/EPHB4 variants)
- Imaging showing direct arteriovenous shunting
Code-Specific Risks
- Misclassification as acquired AVM
Coding Notes
- Ensure documentation specifies congenital nature to avoid misclassification.
I67.1 - Cerebral arteriovenous malformation
For acquired or unspecified cerebral AVMs without hemorrhage.
Applicable To
- Acquired cerebral AVM
Excludes
- Congenital cerebral AVM
Clinical Validation Requirements
- Imaging confirming cerebral AVM without hemorrhage
Coding Notes
Ensure documentation specifies acquired nature if not congenital.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hemorrhage, not elsewhere classified
R58Differential 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 Arteriovenous Malformation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q27.3.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use templates for documentation., Ensure all relevant details are included.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Potential audit risk due to incorrect code usage., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies congenital nature and use Q27.3.
Impact
Using non-specific codes for AVMs.
Mitigation Strategy
Ensure documentation includes all required details for specific 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 Arteriovenous Malformation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Arteriovenous Malformation
Use these documentation templates to ensure complete and accurate documentation for Arteriovenous Malformation. These templates include all required elements for proper coding and billing.
Neurosurgical resection of cerebral AVM
Specialty: NeurosurgeryRequired Elements
- Procedure details
- Size and location of AVM
- Venous drainage
- Intraoperative findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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