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ICD-10 Coding for Costovertebral Angle Tenderness and Aphasia(I69.320, R10.819)

Complete ICD-10-CM coding and documentation guide for Costovertebral Angle Tenderness and Aphasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CVA TendernessCerebrovascular Accident with Aphasia

Related ICD-10 Code Ranges

Complete code families applicable to Costovertebral Angle Tenderness and Aphasia

I69.3Primary Range

Sequelae of cerebrovascular disease

Used for coding aphasia as a sequela of a cerebrovascular accident.

Other abdominal and pelvic pain

Used for coding costovertebral angle tenderness.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I69.320Aphasia following cerebral infarctionUse when aphasia is a residual effect of a past cerebral infarction.
  • Documented history of cerebral infarction
  • Speech-language pathology assessment
R10.819Abdominal tenderness, unspecified siteUse when there is documented tenderness at the costovertebral angle.
  • Physical exam showing tenderness at the costovertebral angle

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 aphasia following stroke

Essential facts and insights about Costovertebral Angle Tenderness and Aphasia

The ICD-10 code for aphasia following a stroke is I69.320.

Primary ICD-10-CM Codes for costovertebral angle with aphasia

Aphasia following cerebral infarction
Billable Code

Decision Criteria

clinical Criteria

  • Aphasia persists as a sequela of a documented stroke.

Applicable To

  • Aphasia due to previous stroke

Excludes

  • Aphasia not due to stroke (R47.01)

Clinical Validation Requirements

  • Documented history of cerebral infarction
  • Speech-language pathology assessment

Code-Specific Risks

  • Incorrectly coding aphasia without linking to stroke

Coding Notes

  • Ensure documentation explicitly links aphasia to a prior stroke.

Differential Codes

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

Aphasia

R47.01
Use R47.01 for aphasia not linked to a stroke.

Renal colic, unspecified

N23
Use N23 if imaging confirms renal calculus.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Costovertebral Angle Tenderness and Aphasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.320.

Impact

Clinical: Misinterpretation of patient condition, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation Strategy

Clarify CVA as cerebrovascular accident or costovertebral angle

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use I69.320 to link aphasia to a prior stroke.

Impact

Incorrectly coding aphasia without linking to stroke.

Mitigation Strategy

Ensure documentation explicitly links aphasia to a prior stroke.

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 Costovertebral Angle Tenderness and Aphasia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Costovertebral Angle Tenderness and Aphasia

Use these documentation templates to ensure complete and accurate documentation for Costovertebral Angle Tenderness and Aphasia. These templates include all required elements for proper coding and billing.

Aphasia post-stroke

Specialty: Neurology

Required Elements

  • Documented history of stroke
  • Speech assessment
  • Imaging results

Example Documentation

Patient exhibits expressive aphasia following left MCA infarction.

Examples: Poor vs. Good Documentation

Poor Documentation Example
CVA with aphasia
Good Documentation Example
Aphasia due to prior left MCA infarction
Explanation
Specifies the cause and context of aphasia.

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