ICD-10 Coding for Autonomic Dysfunction(G90.0, G90.A, E11.43)
Complete ICD-10-CM coding and documentation guide for Autonomic Dysfunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Autonomic Dysfunction
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G90.0 | Idiopathic peripheral autonomic neuropathy | Use when autonomic neuropathy is idiopathic and not linked to other conditions. |
|
| G90.A | Postural orthostatic tachycardia syndrome (POTS) | Use when all POTS criteria are met and documented. |
|
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when autonomic dysfunction is due to diabetes. |
|
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 POTS
Essential facts and insights about Autonomic Dysfunction
Primary ICD-10-CM Codes for autonomic dysfunction
Decision Criteria
clinical Criteria
- Confirmed idiopathic nature through testing
Applicable To
- Idiopathic autonomic neuropathy
Excludes
- Diabetic autonomic neuropathy (E11.43)
Clinical Validation Requirements
- QSART shows reduced distal sweat volume
- No diabetes or amyloidosis
Code-Specific Risks
- Misclassification if underlying cause is not ruled out
Coding Notes
- Ensure idiopathic nature is documented.
G90.A - Postural orthostatic tachycardia syndrome (POTS)
Use when all POTS criteria are met and documented.
Applicable To
- POTS
Excludes
- Orthostatic hypotension (I95.1)
Clinical Validation Requirements
- Sustained HR increase ≥30 bpm within 10 mins standing
- Absence of orthostatic hypotension
Coding Notes
Ensure all POTS criteria are documented.
E11.43 - Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
Use when autonomic dysfunction is due to diabetes.
Applicable To
- Diabetic autonomic neuropathy
Clinical Validation Requirements
- Confirmed diabetes diagnosis
- Autonomic symptoms linked to diabetes
Coding Notes
Ensure diabetes is coded as the primary condition.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Autonomic Dysfunction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G90.0.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific symptom descriptions, Include test results
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation.
Mitigation Strategy
Use G90.A for POTS when criteria are met.
Impact
Incomplete documentation of POTS criteria.
Mitigation Strategy
Use templates to ensure all criteria are documented.
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 Autonomic Dysfunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Autonomic Dysfunction
Use these documentation templates to ensure complete and accurate documentation for Autonomic Dysfunction. These templates include all required elements for proper coding and billing.
POTS Diagnosis
Specialty: CardiologyRequired Elements
- Orthostatic symptoms
- HR/BP measurements
- Exclusion of other causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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