ICD-10 Coding for Complete Heart Block(I44.2)
Complete ICD-10-CM coding and documentation guide for Complete Heart Block. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Complete Heart Block
I44-I49Primary Range
Other conduction disorders
This range includes codes for various types of heart block, including complete heart block.
Key Information: ICD-10 code for complete heart block
Essential facts and insights about Complete Heart Block
Primary ICD-10-CM Code for complete heart block
Decision Criteria
clinical Criteria
- ECG shows no P waves conducted to ventricles.
documentation Criteria
- Provider documentation explicitly states 'complete heart block'.
Applicable To
- Complete heart block
- Third-degree AV block
Excludes
- High-grade AV block
- Second-degree AV block
Clinical Validation Requirements
- ECG showing AV dissociation
- Escape rhythm present
- No conducted P waves
Code-Specific Risks
- Misclassification with high-grade AV block
- Incorrectly coding as cardiac arrest for asystole
Coding Notes
- Ensure ECG findings support the diagnosis of complete heart block.
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.
Second-degree atrioventricular block
I44.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Complete Heart Block to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I44.2.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure ECG findings are reviewed., Use precise terminology in documentation.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Require ECG confirmation of complete heart block.
Impact
Incorrectly coding high-grade AV block as complete heart block.
Mitigation Strategy
Review ECG findings thoroughly.
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 Complete Heart Block, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complete Heart Block
Use these documentation templates to ensure complete and accurate documentation for Complete Heart Block. These templates include all required elements for proper coding and billing.
Inpatient admission for syncope due to complete heart block
Specialty: CardiologyRequired Elements
- Patient symptoms
- ECG findings
- Treatment plan
- Follow-up care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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