ICD-10 Coding for High Serum Digoxin Level(T46.0X, R79.89)
Complete ICD-10-CM coding and documentation guide for High Serum Digoxin Level. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to High Serum Digoxin Level
T46.0XPrimary Range
Poisoning by cardiac-stimulant glycosides
Primary range for coding digoxin toxicity, specifying the intent of poisoning.
Unspecified adverse effect of drug or medicament
Used when digoxin toxicity is unspecified or lacks detail.
Other specified abnormal findings of blood chemistry
Used for asymptomatic elevated digoxin levels without clinical toxicity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T46.0X | Poisoning by cardiac-stimulant glycosides | Use when there is confirmed digoxin toxicity with specified intent. |
|
| R79.89 | Other specified abnormal findings of blood chemistry | Use for elevated digoxin levels without clinical symptoms of toxicity. |
|
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: How do you code high serum digoxin levels?
Essential facts and insights about High Serum Digoxin Level
Primary ICD-10-CM Codes for high serum digoxin level
Decision Criteria
clinical Criteria
- Presence of symptoms and serum digoxin level >2.0 ng/mL
coding Criteria
- Documentation of intent (accidental, intentional, etc.)
Applicable To
- Digoxin toxicity
Excludes
- Adverse effect of digoxin (T88.7)
Clinical Validation Requirements
- Serum digoxin level >2.0 ng/mL
- Symptoms such as nausea, arrhythmias, or hyperkalemia
Code-Specific Risks
- Incorrectly coding as T88.7 when specificity is available
Coding Notes
- Ensure documentation specifies the intent and symptoms to use the correct 7th character.
R79.89 - Other specified abnormal findings of blood chemistry
Use for elevated digoxin levels without clinical symptoms of toxicity.
Applicable To
- Asymptomatic elevated digoxin level
Excludes
- Symptomatic digoxin toxicity (T46.0X)
Clinical Validation Requirements
- Elevated serum digoxin level without symptoms
Coding Notes
Ensure no symptoms are present to use this code.
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.
Unspecified adverse effect of drug or medicament
T88.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting High Serum Digoxin Level to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T46.0X.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denial or reduced reimbursement.
Mitigation Strategy
Always include serum levels in documentation., Use templates to ensure completeness.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation Strategy
Use T46.0X with appropriate 7th character for specificity.
Impact
Risk of audits due to lack of specificity in coding digoxin toxicity.
Mitigation Strategy
Ensure documentation supports the use of specific codes with appropriate 7th characters.
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 High Serum Digoxin Level, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for High Serum Digoxin Level
Use these documentation templates to ensure complete and accurate documentation for High Serum Digoxin Level. These templates include all required elements for proper coding and billing.
Acute digoxin toxicity in emergency department
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- History of present illness
- Physical examination
- Laboratory results
- Impression and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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