ICD-10 Coding for Neurocardiogenic Syncope(R55, I95.8, G90.8)
Complete ICD-10-CM coding and documentation guide for Neurocardiogenic Syncope. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neurocardiogenic Syncope
R55Primary Range
Syncope and collapse
Primary code for syncope when no underlying cause is identified.
Other and unspecified disorders of the circulatory system
Includes codes for hypotension which may be used as secondary codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R55 | Syncope and collapse | Use when syncope is the primary symptom and no underlying cause is identified. |
|
| I95.8 | Other hypotension | Use as a secondary code when hypotension is documented alongside syncope. |
|
| G90.8 | Other disorders of autonomic nervous system | Use when autonomic dysfunction is present with syncope. |
|
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 neurocardiogenic syncope
Essential facts and insights about Neurocardiogenic Syncope
Primary ICD-10-CM Codes for neurocardiogenic syncope
Decision Criteria
clinical Criteria
- Syncope with no identifiable underlying cause
Applicable To
- Fainting
- Vasovagal attack
Excludes
- Orthostatic hypotension (I95.1)
Clinical Validation Requirements
- Documented triggers such as heat or prolonged standing
- Negative cardiac workup
Code-Specific Risks
- Incorrect sequencing with conditions like pneumonia
Coding Notes
- Do not use with orthostatic hypotension due to Excludes1 note.
I95.8 - Other hypotension
Use as a secondary code when hypotension is documented alongside syncope.
Clinical Validation Requirements
- Orthostatic blood pressure measurements showing significant drop
Coding Notes
Ensure proper documentation of blood pressure changes.
G90.8 - Other disorders of autonomic nervous system
Use when autonomic dysfunction is present with syncope.
Clinical Validation Requirements
- Symptoms of dysautonomia such as heat intolerance
Coding Notes
Ensure autonomic dysfunction is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other hypotension
I95.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Orthostatic hypotension
I95.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neurocardiogenic Syncope to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R55.
Impact
Clinical: Inadequate clinical understanding of the event., Regulatory: Potential for audit issues., Financial: Risk of claim denials.
Mitigation Strategy
Train staff on detailed documentation practices.
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Sequence underlying conditions first if they are the cause of syncope.
Impact
Risk of audits due to improper code order.
Mitigation Strategy
Regular training on coding guidelines.
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 Neurocardiogenic Syncope, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neurocardiogenic Syncope
Use these documentation templates to ensure complete and accurate documentation for Neurocardiogenic Syncope. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- History of Present Illness
- Objective Findings
- Assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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