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ICD-10 Coding for Atrioventricular Fistula(I77.0)

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

Also known as:

AV FistulaArteriovenous Fistula

Related ICD-10 Code Ranges

Complete code families applicable to Atrioventricular Fistula

I77.0-I77.9Primary Range

Other disorders of arteries and arterioles

This range includes codes for various disorders of arteries, including arteriovenous fistulas.

Key Information: ICD-10 code for acquired arteriovenous fistula

Essential facts and insights about Atrioventricular Fistula

The ICD-10 code for an acquired arteriovenous fistula is I77.0, used when confirmed by clinical documentation and imaging.

Primary ICD-10-CM Code for atrioventricular fistula

Arteriovenous fistula, acquired
Billable Code

Decision Criteria

clinical Criteria

  • Presence of acquired arteriovenous fistula confirmed by imaging

documentation Criteria

  • Detailed description of the fistula's acquired nature

Applicable To

  • Acquired arteriovenous fistula

Excludes

  • Congenital arteriovenous fistula (Q27.3)

Clinical Validation Requirements

  • Imaging studies confirming the presence of an arteriovenous fistula
  • Clinical documentation of symptoms such as thrill or bruit

Code-Specific Risks

  • Ensure differentiation from congenital arteriovenous fistula

Coding Notes

  • Ensure proper documentation of the acquired nature of the fistula.

Differential Codes

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

Congenital arteriovenous fistula

Q27.3
Use Q27.3 for congenital cases, confirmed by patient history or genetic testing.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Atrioventricular 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: May lead to inappropriate treatment plans., Regulatory: Could result in audit findings., Financial: Potential for denied claims.

Mitigation Strategy

Ensure thorough documentation of patient history and imaging results.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of patient records and data reporting.

Mitigation Strategy

Verify patient history and imaging to confirm the acquired nature before coding.

Impact

Failure to differentiate can lead to incorrect coding.

Mitigation Strategy

Implement thorough review processes for patient history and imaging.

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 Atrioventricular Fistula, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Atrioventricular Fistula

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

Open Surgical Revision of AV Fistula

Specialty: Vascular Surgery

Required Elements

  • Procedure type
  • Indication for surgery
  • Surgical technique
  • Intraoperative findings
  • Postoperative plan

Example Documentation

Open revision of left brachiocephalic AV fistula with patch angioplasty for juxta-anastomotic stenosis; no thrombus present.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Revised fistula.
Good Documentation Example
Performed open revision of brachiocephalic AV graft with 4mm PTFE interposition graft to address 3cm aneurysm; intraoperative angiogram shows patent outflow.
Explanation
The good example provides specific details about the procedure, findings, and outcomes, ensuring clear documentation.

Need help with ICD-10 coding for Atrioventricular Fistula? Ask your questions below.

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