ICD-10 Coding for Orthostatic Tachycardia(G90.A, R00.0)
Complete ICD-10-CM coding and documentation guide for Orthostatic Tachycardia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Orthostatic Tachycardia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G90.A | Postural Orthostatic Tachycardia Syndrome (POTS) | Use when all POTS criteria are met and documented |
|
| R00.0 | Tachycardia, unspecified | Use when tachycardia is present but POTS criteria are not fully met |
|
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 orthostatic tachycardia
Essential facts and insights about Orthostatic Tachycardia
Primary ICD-10-CM Codes for orthostatic tachycardia
Decision Criteria
clinical Criteria
- Heart rate increase of ≥30 bpm (≥40 for ages 12-19) within 10 minutes of standing
documentation Criteria
- Symptoms lasting ≥3 months
Clinical Validation Requirements
- Heart rate increase of ≥30 bpm (≥40 for ages 12-19) within 10 minutes of standing
- Absence of orthostatic hypotension
- Symptoms lasting ≥3 months
Code-Specific Risks
- Incorrect use if criteria are not fully documented
Coding Notes
- Ensure all POTS criteria are documented to support G90.A coding
R00.0 - Tachycardia, unspecified
Use when tachycardia is present but POTS criteria are not fully met
Excludes
- POTS (G90.A)
Clinical Validation Requirements
- Presence of tachycardia without specific POTS criteria
Coding Notes
Ensure documentation supports the absence of POTS criteria
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dehydration
E86.0Differential 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 Orthostatic Tachycardia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G90.A.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Ensure symptom duration is clearly documented
Impact
Reimbursement: Potential for incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation includes all required criteria for POTS
Impact
Inadequate documentation of POTS criteria
Mitigation Strategy
Ensure all clinical criteria are documented
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 Orthostatic Tachycardia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Orthostatic Tachycardia
Use these documentation templates to ensure complete and accurate documentation for Orthostatic Tachycardia. These templates include all required elements for proper coding and billing.
POTS Diagnosis in Cardiology
Specialty: CardiologyRequired Elements
- Orthostatic vital signs
- Tilt table test results
- Symptom duration
- Exclusion of differential diagnoses
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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