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ICD-10 Coding for History of Supraventricular Tachycardia(Z86.79, I47.1)

Complete ICD-10-CM coding and documentation guide for History of Supraventricular Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

History of SVTPast Supraventricular Tachycardia

Related ICD-10 Code Ranges

Complete code families applicable to History of Supraventricular Tachycardia

Z86.7-Z86.79Primary Range

Personal history of diseases of the circulatory system

This range includes codes for personal history of circulatory system diseases, specifically Z86.79 for history of SVT.

Paroxysmal tachycardia

This range includes active paroxysmal tachycardia codes, relevant for differentiating active SVT from historical cases.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
Z86.79Personal history of other diseases of the circulatory systemUse when SVT is resolved and no longer requires active treatment.
  • Documentation of resolved SVT with no active treatment
  • Past ECG or EP study confirming SVT
  • Ablation procedure notes if applicable
I47.1Supraventricular tachycardiaUse for active SVT episodes requiring current treatment.
  • Current ECG showing SVT
  • Ongoing treatment with medications or devices

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 supraventricular tachycardia

Essential facts and insights about History of Supraventricular Tachycardia

The ICD-10 code for a history of supraventricular tachycardia is Z86.79, used when the condition is resolved and no longer requires treatment.

Primary ICD-10-CM Codes for history of supraventricular tachycardia

Personal history of other diseases of the circulatory system
Billable Code

Decision Criteria

clinical Criteria

  • SVT is resolved and no longer requires treatment.

documentation Criteria

  • Explicit mention of 'history of SVT' in medical records.

Applicable To

  • History of resolved supraventricular tachycardia

Excludes

  • Current supraventricular tachycardia (I47.1)

Clinical Validation Requirements

  • Documentation of resolved SVT with no active treatment
  • Past ECG or EP study confirming SVT
  • Ablation procedure notes if applicable

Code-Specific Risks

  • Misclassification if SVT is still active or controlled with medication.

Coding Notes

  • Ensure documentation specifies 'history of' to avoid confusion with active SVT.

Ancillary Codes

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

Presence of cardiac pacemaker

Z95.0
Use if a pacemaker is present due to past SVT.

Presence of automatic (implantable) cardiac defibrillator

Z95.810
Use if an ICD is present due to past SVT.

Differential Codes

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

Supraventricular tachycardia

I47.1
Use I47.1 for active SVT episodes requiring treatment.

Tachycardia, unspecified

R00.0
Use R00.0 when SVT type is not specified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Supraventricular Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.79.

Impact

Clinical: Misrepresentation of patient's current condition., Regulatory: Potential non-compliance with coding guidelines., Financial: Incorrect billing and reimbursement.

Mitigation Strategy

Educate providers on documentation standards., Implement checklist for medical history documentation.

Impact

Reimbursement: Incorrect coding may affect reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Ensure documentation specifies 'history of' to use Z86.79.

Impact

Using I47.1 for historical cases.

Mitigation Strategy

Regular training on code differentiation.

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 Supraventricular Tachycardia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Supraventricular Tachycardia

Use these documentation templates to ensure complete and accurate documentation for History of Supraventricular Tachycardia. These templates include all required elements for proper coding and billing.

Resolved SVT with past ablation

Specialty: Cardiology

Required Elements

  • History of SVT
  • Ablation details
  • Current monitoring results

Example Documentation

PMH: Hx paroxysmal SVT, resolved post-ablation in 2023. No recurrence on monitoring.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hx SVT.
Good Documentation Example
Hx paroxysmal SVT, resolved post-ablation in 2023. No recurrence on monitoring.
Explanation
The good example provides specific details about resolution and monitoring, supporting Z86.79.

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