ICD-10 Coding for Periventricular Leukomalacia(P91.2)
Complete ICD-10-CM coding and documentation guide for Periventricular Leukomalacia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Periventricular Leukomalacia
P91.0-P91.9Primary Range
Other disturbances of cerebral status of newborn
This range includes conditions affecting the cerebral status of newborns, including periventricular leukomalacia.
Key Information: ICD-10 code for periventricular leukomalacia
Essential facts and insights about Periventricular Leukomalacia
Primary ICD-10-CM Code for periventricular leukomalacia
Decision Criteria
clinical Criteria
- Presence of periventricular cysts on imaging
documentation Criteria
- Detailed imaging findings and gestational age
Applicable To
- Periventricular leukomalacia
Excludes
- Hypoxic-ischemic encephalopathy (P91.6)
Clinical Validation Requirements
- Cranial ultrasound showing periventricular cysts
- MRI indicating periventricular white matter loss
Code-Specific Risks
- Risk of miscoding if documentation does not specify 'leukomalacia'.
Coding Notes
- Ensure documentation specifies 'periventricular leukomalacia' confirmed by imaging.
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 Periventricular Leukomalacia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P91.2.
Impact
Clinical: Inaccurate assessment of neonatal risk factors., Regulatory: Potential audit trigger due to incomplete documentation., Financial: Incorrect DRG assignment affecting reimbursement.
Mitigation Strategy
Always document gestational age for neonates.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Increased risk of audit due to inaccurate coding., Data Quality: Compromised data integrity affecting clinical outcomes.
Mitigation Strategy
Ensure documentation specifies 'leukomalacia' to use P91.2.
Impact
Missing gestational age can lead to audit flags.
Mitigation Strategy
Ensure all neonatal records include gestational age.
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 Periventricular Leukomalacia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Periventricular Leukomalacia
Use these documentation templates to ensure complete and accurate documentation for Periventricular Leukomalacia. These templates include all required elements for proper coding and billing.
Neonatal PVL diagnosis
Specialty: NeonatologyRequired Elements
- Imaging findings
- Gestational age
- Neurologic sequelae
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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