ICD-10 Coding for Obstructive Hydrocephalus(G91.1)
Complete ICD-10-CM coding and documentation guide for Obstructive Hydrocephalus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Obstructive Hydrocephalus
G91-G94Primary Range
Other disorders of brain
This range includes codes for various types of hydrocephalus, including obstructive hydrocephalus.
Key Information: ICD-10 code for obstructive hydrocephalus
Essential facts and insights about Obstructive Hydrocephalus
Primary ICD-10-CM Code for obstructive hydrocephalus
Decision Criteria
clinical Criteria
- Imaging shows ventricular enlargement proximal to obstruction.
documentation Criteria
- Specific mention of 'obstructive hydrocephalus' in clinical notes.
Applicable To
- Non-communicating hydrocephalus
Clinical Validation Requirements
- Ventricular enlargement proximal to obstruction site
- ≥5mm temporal horn dilation
- Absence of CSF flow past cerebral aqueduct on imaging
Code-Specific Risks
- Misclassification with communicating hydrocephalus
- Omission of underlying cause if applicable
Coding Notes
- Ensure documentation specifies the type of hydrocephalus and any underlying conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Obstructive Hydrocephalus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G91.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Educate clinicians on the importance of specifying hydrocephalus type., Use templates that prompt for specific details.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document and code the underlying cause, such as a neoplasm.
Impact
Incorrect sequencing of hydrocephalus and underlying condition codes.
Mitigation Strategy
Follow ICD-10 guidelines for code sequencing.
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 Obstructive Hydrocephalus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Obstructive Hydrocephalus
Use these documentation templates to ensure complete and accurate documentation for Obstructive Hydrocephalus. These templates include all required elements for proper coding and billing.
Neurosurgery H&P
Specialty: NeurosurgeryRequired Elements
- Assessment of hydrocephalus type
- Anatomic site of obstruction
- Underlying cause if known
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Obstructive Hydrocephalus? Ask your questions below.