ICD-10 Coding for Hyperkinetic Heart Syndrome(I51.8, R00.0, I10)
Complete ICD-10-CM coding and documentation guide for Hyperkinetic Heart Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperkinetic Heart Syndrome
I51.8Primary Range
Other ill-defined heart diseases
Primary code for hyperkinetic heart syndrome without structural heart disease.
Tachycardia, unspecified
Used as an ancillary code for documenting tachycardia in hyperkinetic heart syndrome.
Essential (primary) hypertension
Used as an ancillary code when hypertension is present with hyperkinetic heart syndrome.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I51.8 | Other ill-defined heart diseases | Use for definitive diagnosis of hyperkinetic heart syndrome without structural heart disease. |
|
| R00.0 | Tachycardia, unspecified | Use when tachycardia is a documented symptom of hyperkinetic heart syndrome. |
|
| I10 | Essential (primary) hypertension | Use when hypertension is present with hyperkinetic heart syndrome. |
|
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 hyperkinetic heart syndrome
Essential facts and insights about Hyperkinetic Heart Syndrome
Primary ICD-10-CM Codes for hyperkinetic heart syndrome
Decision Criteria
clinical Criteria
- Elevated cardiac output and systolic BP with no structural heart disease.
coding Criteria
- Do not use I11.0 unless heart failure is present.
Applicable To
- Hyperkinetic heart syndrome
Excludes
- Hypertensive heart disease (I11.-)
Clinical Validation Requirements
- Elevated cardiac output (>8 L/min)
- Systolic BP >140 mmHg
- Resting HR >90 bpm
- Absence of valvular/ischemic etiology
Code-Specific Risks
- Confusion with hypertensive heart disease codes
Coding Notes
- Ensure documentation includes quantitative hemodynamics and exclusion of secondary causes.
R00.0 - Tachycardia, unspecified
Use when tachycardia is a documented symptom of hyperkinetic heart syndrome.
Applicable To
- Tachycardia >100 bpm
Clinical Validation Requirements
- Documented resting HR ≥100 on EKG/telemetry
Coding Notes
Ensure tachycardia is documented with specific heart rate measurements.
I10 - Essential (primary) hypertension
Use when hypertension is present with hyperkinetic heart syndrome.
Applicable To
- Systolic BP >140 mmHg on ≥2 readings
Clinical Validation Requirements
- Systolic BP >140 mmHg on ≥2 readings
Coding Notes
Document hypertension with specific blood pressure readings.
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.
Hypertensive heart disease with heart failure
I11.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperkinetic Heart Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I51.8.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Could result in audit findings and penalties., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure all relevant test results are documented., Use templates to guide comprehensive documentation.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Use I51.8 for hyperkinetic syndrome without structural heart disease.
Impact
Risk of audit if documentation does not support the use of I51.8.
Mitigation Strategy
Ensure comprehensive documentation of clinical findings and exclusion of secondary causes.
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 Hyperkinetic Heart Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperkinetic Heart Syndrome
Use these documentation templates to ensure complete and accurate documentation for Hyperkinetic Heart Syndrome. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Patient history of palpitations
- Physical exam findings
- Diagnostic test results
- Clinical impression
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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