ICD-10 Coding for Tenecteplase Infusion(96374)
Complete ICD-10-CM coding and documentation guide for Tenecteplase Infusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tenecteplase Infusion
96365-96376Primary Range
Therapeutic, prophylactic, and diagnostic injections and infusions
Covers codes for IV push and infusion procedures, relevant for tenecteplase administration.
Key Information: ICD-10 code for tenecteplase infusion
Essential facts and insights about Tenecteplase Infusion
Primary ICD-10-CM Code for procedure tenecteplase infusion
Decision Criteria
clinical Criteria
- Presence of acute STEMI or ischemic stroke
documentation Criteria
- Clear documentation of IV push administration
Applicable To
- IV push administration of tenecteplase
Excludes
- Infusion administration
Clinical Validation Requirements
- Documented STEMI or ischemic stroke
- Administration as a bolus over 5 seconds
Code-Specific Risks
- Misclassification as an infusion
Coding Notes
- Ensure documentation specifies 'IV push' to avoid incorrect coding as an infusion.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Each additional sequential IV push of a new substance/drug
96375Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Thrombolysis, coronary; intravenous infusion
92977Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tenecteplase Infusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 96374.
Impact
Clinical: Potential misinterpretation of treatment method, Regulatory: Non-compliance with documentation standards, Financial: Risk of claim denial due to incomplete documentation
Mitigation Strategy
Use standardized templates, Regular training on documentation practices
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate healthcare data reporting.
Mitigation Strategy
Ensure documentation specifies 'IV push' and use code 96374.
Impact
Risk of coding IV push as an infusion.
Mitigation Strategy
Ensure documentation specifies 'IV push' and use appropriate codes.
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 Tenecteplase Infusion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tenecteplase Infusion
Use these documentation templates to ensure complete and accurate documentation for Tenecteplase Infusion. These templates include all required elements for proper coding and billing.
Acute STEMI with Tenecteplase Administration
Specialty: CardiologyRequired Elements
- Indication for tenecteplase
- Dose and weight-based calculation
- Route and administration time
- Pre/post administration flush
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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