ICD-10 Coding for Brief Resolved Unexplained Event(R68.13)
Complete ICD-10-CM coding and documentation guide for Brief Resolved Unexplained Event. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Brief Resolved Unexplained Event
R68.1-R68.89Primary Range
Other general symptoms and signs
This range includes codes for symptoms and signs not classified elsewhere, with R68.13 specifically for BRUE.
Key Information: ICD-10 code for brief resolved unexplained event
Essential facts and insights about Brief Resolved Unexplained Event
Primary ICD-10-CM Code for brief resolved unexplained event
Decision Criteria
clinical Criteria
- Event duration ≤1 minute with spontaneous resolution
documentation Criteria
- Normal vital signs documented post-event
Applicable To
- Brief resolved unexplained event meeting AAP criteria
Excludes
- Apparent life-threatening event (ALTE) (R68.12)
Clinical Validation Requirements
- Event duration ≤1 minute
- Return to baseline without intervention
- Normal vitals and exam at evaluation
- No identifiable cause after workup
Code-Specific Risks
- Incorrectly coding when criteria are not fully met
- Omitting documentation of normal vital signs
Coding Notes
- Ensure documentation supports all criteria for BRUE before coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified symptoms and signs involving the circulatory and respiratory systems
R09.89Primary apnea of newborn
P28.4Unspecified convulsions
R56.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Brief Resolved Unexplained Event to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R68.13.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure vital signs are documented post-event., Use templates to guide documentation.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Sequence the underlying condition first, followed by R68.13.
Impact
Incomplete documentation of BRUE criteria can lead to audit findings.
Mitigation Strategy
Use structured templates and checklists 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 Brief Resolved Unexplained Event, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Brief Resolved Unexplained Event
Use these documentation templates to ensure complete and accurate documentation for Brief Resolved Unexplained Event. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation of BRUE
Specialty: PediatricsRequired Elements
- Event characterization
- Recovery details
- Exclusion criteria checklist
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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