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ICD-10 Coding for Frequent Premature Ventricular Complexes(I49.3)

Complete ICD-10-CM coding and documentation guide for Frequent Premature Ventricular Complexes. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Frequent PVCsVentricular EctopyVentricular Premature Beats

Related ICD-10 Code Ranges

Complete code families applicable to Frequent Premature Ventricular Complexes

I49.0-I49.9Primary Range

Other cardiac arrhythmias

This range includes codes for various types of cardiac arrhythmias, including premature ventricular complexes.

Key Information: ICD-10 code for frequent premature ventricular complexes

Essential facts and insights about Frequent Premature Ventricular Complexes

The ICD-10 code for frequent premature ventricular complexes is I49.3, used when PVCs are frequent and documented with a Holter monitor.

Primary ICD-10-CM Code for frequent premature ventricular complexes

Ventricular premature depolarization
Billable Code

Decision Criteria

clinical Criteria

  • Documented PVC burden >10% on Holter monitor

documentation Criteria

  • Symptoms such as palpitations or chest pain

Applicable To

  • Frequent PVCs
  • Ventricular ectopy

Excludes

  • Ventricular tachycardia (I47.2)
  • Ventricular bigeminy (I49.8)

Clinical Validation Requirements

  • ≥3 PVCs/minute or >10% burden on Holter monitor
  • Symptoms such as palpitations or chest pain

Code-Specific Risks

  • Incorrectly coding as palpitations (R00.2) without confirmation of PVCs

Coding Notes

  • Ensure documentation specifies the frequency and morphology of PVCs.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Viral cardiomyopathy

B33.24
Use when viral cardiomyopathy is confirmed as a cause of PVCs.

Differential Codes

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

Ventricular tachycardia

I47.2
Use when there are ≥3 consecutive PVCs at a rate of ≥100 bpm.

Other specified cardiac arrhythmias

I49.8
Use for documented bigeminal or trigeminal rhythms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Frequent Premature Ventricular Complexes to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I49.3.

Impact

Clinical: Inadequate clinical assessment of arrhythmia severity., Regulatory: Potential for audit issues due to incomplete documentation., Financial: Risk of incorrect billing and reimbursement.

Mitigation Strategy

Ensure Holter monitor results are reviewed and documented., Train staff on the importance of detailed arrhythmia documentation.

Impact

Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure PVCs are documented with a Holter monitor confirmation.

Impact

Lack of detailed documentation on PVC frequency and morphology.

Mitigation Strategy

Implement documentation templates and regular training.

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 Frequent Premature Ventricular Complexes, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Frequent Premature Ventricular Complexes

Use these documentation templates to ensure complete and accurate documentation for Frequent Premature Ventricular Complexes. These templates include all required elements for proper coding and billing.

Cardiology Progress Note

Specialty: Cardiology

Required Elements

  • Rhythm description
  • PVC frequency and morphology
  • Symptom correlation
  • Treatment plan

Example Documentation

Rhythm: Sinus with frequent PVCs (8,200/24hr). Morphology: LBBB, inferior axis, transition at V4 (RVOT origin). Symptoms: Exertional presyncope (occurred 3x this week). Treatment Plan: Metoprolol 25mg BID started; repeat echo in 3mo to assess for PVC-induced cardiomyopathy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has PVCs.
Good Documentation Example
Frequent monomorphic PVCs (22% burden on Holter) originating from RVOT, causing syncopal episodes.
Explanation
The good example provides specific details on PVC frequency, morphology, and associated symptoms.

Need help with ICD-10 coding for Frequent Premature Ventricular Complexes? Ask your questions below.

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