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ICD-10 Coding for Non-Sustained Ventricular Tachycardia(I47.20)

Complete ICD-10-CM coding and documentation guide for Non-Sustained Ventricular Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

NSVTNon-Sustained VTparoxysmal ventricular tachycardia

Related ICD-10 Code Ranges

Complete code families applicable to Non-Sustained Ventricular Tachycardia

I47-I49Primary Range

Paroxysmal tachycardia and other cardiac arrhythmias

This range includes codes for various types of tachycardia, including NSVT.

Key Information: ICD-10 code for NSVT

Essential facts and insights about Non-Sustained Ventricular Tachycardia

The ICD-10 code for Non-Sustained Ventricular Tachycardia (NSVT) is I47.20.

Primary ICD-10-CM Code for nsvt

Ventricular tachycardia, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Documented NSVT on Holter with ≥3 beats at ≥100 bpm

documentation Criteria

  • Explicit mention of 'non-sustained ventricular tachycardia'

Applicable To

  • Non-Sustained Ventricular Tachycardia

Excludes

  • Sustained ventricular tachycardia

Clinical Validation Requirements

  • Holter monitor showing ≥3 consecutive ventricular beats at ≥100 bpm
  • Episodes lasting <30 seconds

Code-Specific Risks

  • Misclassification if sustained VT is not ruled out

Coding Notes

  • Ensure documentation specifies NSVT and any related symptoms or underlying conditions.

Ancillary Codes

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

Atherosclerotic heart disease

I25.10
Use when NSVT is linked to coronary artery disease.

Heart failure, unspecified

I50.9
Use when NSVT occurs in the context of heart failure.

Differential Codes

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

Supraventricular tachycardia

I47.1
Narrow QRS complex differentiates SVT from VT.

Torsades de Pointes

I47.21
Polymorphic VT with prolonged QT interval.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Non-Sustained Ventricular Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I47.20.

Impact

Clinical: Incomplete clinical picture., Regulatory: Potential audit issues., Financial: Possible claim denials.

Mitigation Strategy

Review patient history for underlying conditions., Ensure all relevant codes are included.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Use I47.20 unless Torsades de Pointes is present.

Impact

Risk of coding NSVT as sustained VT.

Mitigation Strategy

Ensure documentation specifies duration and type of VT.

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 Non-Sustained Ventricular Tachycardia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Non-Sustained Ventricular Tachycardia

Use these documentation templates to ensure complete and accurate documentation for Non-Sustained Ventricular Tachycardia. These templates include all required elements for proper coding and billing.

Cardiology follow-up for NSVT

Specialty: Cardiology

Required Elements

  • Patient symptoms
  • Holter monitor results
  • Underlying conditions
  • Treatment plan

Example Documentation

Patient presents with NSVT documented on Holter. No symptoms reported. Plan to monitor and adjust beta-blocker.

Examples: Poor vs. Good Documentation

Poor Documentation Example
VT noted on monitor.
Good Documentation Example
NSVT (4 beats at 120 bpm) recorded on 48-hour Holter, asymptomatic.
Explanation
The good example specifies the type of VT, number of beats, and patient symptoms.

Need help with ICD-10 coding for Non-Sustained Ventricular Tachycardia? Ask your questions below.

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