ICD-10 Coding for History of Transient Ischemic Attack(Z86.73, I69.3-)
Complete ICD-10-CM coding and documentation guide for History of Transient Ischemic Attack. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Transient Ischemic Attack
Z86.73Primary Range
Personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficits
This code is used to document a resolved TIA without any residual neurological deficits.
Sequelae of cerebral infarction
Used when there are residual deficits following a cerebral infarction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.73 | Personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficits | Use when the patient has a history of TIA with no residual deficits. |
|
| I69.3- | Sequelae of cerebral infarction | Use when there are documented residual deficits following a cerebral infarction. |
|
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 TIA
Essential facts and insights about History of Transient Ischemic Attack
Primary ICD-10-CM Codes for history transient ischemic attack
Decision Criteria
clinical Criteria
- Patient has no residual neurological deficits post-TIA.
documentation Criteria
- Documentation must state 'history of TIA without residual deficits'.
Applicable To
- History of TIA without residuals
Clinical Validation Requirements
- No neurological deficits observed
- Normal imaging post-event
Code-Specific Risks
- Incorrectly coding as current TIA or stroke
Coding Notes
- Ensure documentation explicitly states 'history of TIA without residual deficits'.
I69.3- - Sequelae of cerebral infarction
Use when there are documented residual deficits following a cerebral infarction.
Applicable To
- Residual deficits post-stroke
Excludes
- History of TIA without residuals (Z86.73)
Clinical Validation Requirements
- Documented residual deficits such as hemiparesis
Coding Notes
Link residual deficits to past cerebral infarction.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Transient Ischemic Attack to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.73.
Impact
Clinical: Misrepresentation of patient's current health status., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Review patient history for resolution of symptoms, Ensure documentation supports code selection
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z86.73 for history of TIA without residuals.
Impact
Using acute TIA or stroke codes for resolved conditions.
Mitigation Strategy
Regular training on ICD-10 guidelines and documentation review.
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 Transient Ischemic Attack, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Transient Ischemic Attack
Use these documentation templates to ensure complete and accurate documentation for History of Transient Ischemic Attack. These templates include all required elements for proper coding and billing.
Follow-up visit for resolved TIA
Specialty: NeurologyRequired Elements
- Patient history
- Neurological exam results
- Imaging results
- Current medications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Transient Ischemic Attack? Ask your questions below.