ICD-10 Coding for First-Degree Atrioventricular Block(I44.0)
Complete ICD-10-CM coding and documentation guide for First-Degree Atrioventricular Block. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to First-Degree Atrioventricular Block
I44-I49Primary Range
Conduction disorders
This range includes all conduction disorders, with I44.0 specifically for first-degree AV block.
Key Information: ICD-10 code for first-degree AV block
Essential facts and insights about First-Degree Atrioventricular Block
Primary ICD-10-CM Code for first degree atrioventricular block
Decision Criteria
clinical Criteria
- PR interval >200 ms on ECG
documentation Criteria
- Specify symptoms or asymptomatic status
Applicable To
- First-degree AV block
Excludes
- Other types of heart block
Clinical Validation Requirements
- PR interval >200 ms on ECG
- Documentation of symptoms or asymptomatic status
- Identification of underlying cause if present
Code-Specific Risks
- Incorrectly coding without PR interval documentation
- Not identifying and coding underlying causes
Coding Notes
- Ensure PR interval is documented and any underlying cause is identified and coded first.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of anticoagulants
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Conduction disorder, unspecified
I45.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting First-Degree Atrioventricular Block to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I44.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Always assess and document potential causes of AV block., Use 'code first' instructions when applicable.
Impact
Reimbursement: May lead to denied claims due to insufficient documentation., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and patient records.
Mitigation Strategy
Ensure PR interval >200 ms is documented in the medical record.
Impact
Lack of PR interval documentation can lead to audit issues.
Mitigation Strategy
Implement mandatory PR interval documentation for all AV block diagnoses.
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 First-Degree Atrioventricular Block, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for First-Degree Atrioventricular Block
Use these documentation templates to ensure complete and accurate documentation for First-Degree Atrioventricular Block. These templates include all required elements for proper coding and billing.
Asymptomatic first-degree AV block
Specialty: CardiologyRequired Elements
- PR interval measurement
- Symptom status
- Underlying cause if applicable
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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