ICD-10 Coding for History of Cardiac Arrest(Z86.74, I46.2)
Complete ICD-10-CM coding and documentation guide for History of Cardiac Arrest. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Cardiac Arrest
Z86.74Primary Range
Personal history of sudden cardiac arrest
Used for documenting a patient's history of cardiac arrest when it is clinically relevant to current care.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.74 | Personal history of sudden cardiac arrest | Use for patients with a documented history of cardiac arrest when it impacts current treatment or management. |
|
| I46.2 | Cardiac arrest due to underlying cardiac condition | Use for active cardiac arrest events due to cardiac conditions. |
|
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 history of cardiac arrest
Essential facts and insights about History of Cardiac Arrest
Primary ICD-10-CM Codes for history of cardiac arrest
Decision Criteria
documentation Criteria
- Document the date and context of the previous cardiac arrest.
Applicable To
- History of cardiac arrest
Excludes
- Current cardiac arrest (I46.9)
Clinical Validation Requirements
- Documented history of cardiac arrest
- Presence of an implanted cardiac device
- Resuscitation records
Code-Specific Risks
- Incorrectly using for active cardiac arrest events
Coding Notes
- Ensure documentation clearly states the history of cardiac arrest and its relevance to current care.
I46.2 - Cardiac arrest due to underlying cardiac condition
Use for active cardiac arrest events due to cardiac conditions.
Applicable To
- Cardiac arrest due to myocardial infarction
Excludes
- Non-cardiac causes of arrest (I46.8)
Clinical Validation Requirements
- Elevated troponin levels
- Coronary angiography confirming myocardial infarction
Coding Notes
Ensure the underlying cardiac condition is documented and coded.
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 History of Cardiac Arrest to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.74.
Impact
Clinical: Inadequate patient management., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use structured templates., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use I46.9 for unspecified active cardiac arrest events.
Impact
Using Z86.74 for active cardiac arrest events.
Mitigation Strategy
Regular audits and coder 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 History of Cardiac Arrest, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Cardiac Arrest
Use these documentation templates to ensure complete and accurate documentation for History of Cardiac Arrest. These templates include all required elements for proper coding and billing.
Cardiology Follow-Up
Specialty: CardiologyRequired Elements
- Patient history
- Current symptoms
- Device status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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