ICD-10 Coding for Defibrillator Discharge(I49.01, T82.112A)
Complete ICD-10-CM coding and documentation guide for Defibrillator Discharge. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Defibrillator Discharge
I47-I49Primary Range
Paroxysmal tachycardia and other cardiac arrhythmias
Includes codes for arrhythmias that may trigger defibrillator discharges.
Complications of cardiac and vascular prosthetic devices, implants and grafts
Includes codes for mechanical complications of defibrillators.
Presence of cardiac and vascular implants and grafts
Includes codes for the presence of defibrillators.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I49.01 | Ventricular fibrillation | Use when the defibrillator discharge is due to ventricular fibrillation. |
|
| T82.112A | Mechanical complication of cardiac electronic device, initial encounter | Use when the defibrillator discharge is due to a mechanical complication. |
|
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 defibrillator discharge
Essential facts and insights about Defibrillator Discharge
Primary ICD-10-CM Codes for defibrillator discharge
Decision Criteria
clinical Criteria
- Confirmed VF episode on device interrogation
Applicable To
- Ventricular fibrillation as a cause of defibrillator discharge
Excludes
- Atrial fibrillation (I48.0)
Clinical Validation Requirements
- Device interrogation confirming VF episode
- Symptoms such as syncope or palpitations preceding shock
Code-Specific Risks
- Misidentifying the arrhythmia type leading to incorrect coding.
Coding Notes
- Ensure device interrogation reports are reviewed to confirm VF.
T82.112A - Mechanical complication of cardiac electronic device, initial encounter
Use when the defibrillator discharge is due to a mechanical complication.
Applicable To
- Lead fracture causing inappropriate shock
Excludes
- Infection and inflammatory reaction due to cardiac device (T82.6)
Clinical Validation Requirements
- Interrogation showing lead noise
- Impedance changes >200 ohms
Coding Notes
Document specific mechanical issues and device interrogation findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of automatic (implantable) cardiac defibrillator
Z95.810Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Defibrillator Discharge to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I49.01.
Impact
Clinical: Incomplete clinical picture of patient's device status., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims due to incomplete coding.
Mitigation Strategy
Always include Z95.810 when a defibrillator is present.
Impact
Reimbursement: Incorrect DRG assignment leading to reduced reimbursement., Compliance: Potential for audit failure due to incorrect coding., Data Quality: Compromised data quality affecting clinical decision-making.
Mitigation Strategy
Ensure device interrogation confirms VF before coding.
Impact
Failure to document specific arrhythmia can lead to coding errors.
Mitigation Strategy
Ensure device interrogation reports are detailed and reviewed.
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 Defibrillator Discharge, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Defibrillator Discharge
Use these documentation templates to ensure complete and accurate documentation for Defibrillator Discharge. These templates include all required elements for proper coding and billing.
ICD shock due to ventricular fibrillation
Specialty: CardiologyRequired Elements
- Device interrogation report
- Symptoms preceding shock
- Lead integrity data
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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