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ICD-10 Coding for Thrombectomy with TICI 3 Reperfusion(I63.81)

Complete ICD-10-CM coding and documentation guide for Thrombectomy with TICI 3 Reperfusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Mechanical Thrombectomy with Complete ReperfusionEndovascular Thrombectomy with TICI 3

Related ICD-10 Code Ranges

Complete code families applicable to Thrombectomy with TICI 3 Reperfusion

I63.81-I63.89Primary Range

Other cerebral infarction

This range includes codes for cerebral infarction, which is the primary condition treated by thrombectomy.

Other specified postprocedural states

Used for documenting the status post thrombectomy procedure.

Key Information: ICD-10 code for thrombectomy with TICI 3

Essential facts and insights about Thrombectomy with TICI 3 Reperfusion

The ICD-10 code for thrombectomy with TICI 3 reperfusion is I63.81, used for cerebral infarction due to embolism.

Primary ICD-10-CM Code for procedure thrombectomy work tici3 reperfusion

Other cerebral infarction due to embolism of cerebral arteries
Billable Code

Decision Criteria

clinical Criteria

  • Embolism as the cause of cerebral infarction

documentation Criteria

  • TICI 3 reperfusion confirmed by imaging

Applicable To

  • Cerebral infarction due to embolism

Excludes

  • Transient cerebral ischemic attacks (G45.-)

Clinical Validation Requirements

  • Documentation of embolism as the cause of cerebral infarction
  • Imaging evidence of cerebral infarction

Code-Specific Risks

  • Misclassification if embolism is not documented
  • Incorrect use if TICI 3 is not achieved

Coding Notes

  • Ensure TICI 3 reperfusion is documented with imaging confirmation.

Ancillary Codes

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

Selective catheter placement, arterial system

36245
Use for documenting catheter placement during thrombectomy.

Differential Codes

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

Cerebral infarction, unspecified

I63.9
Use I63.81 when embolism is specified; use I63.9 when the cause is unspecified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Thrombectomy with TICI 3 Reperfusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I63.81.

Impact

Clinical: Inaccurate assessment of reperfusion success., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Standardize procedure notes to include TICI score., Train staff on importance of TICI documentation.

Impact

Reimbursement: May lead to reduced reimbursement if TICI 3 is not documented., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure TICI 3 is explicitly documented in the procedure note.

Impact

Lack of TICI score documentation can lead to audit flags.

Mitigation Strategy

Implement mandatory TICI score documentation in procedure notes.

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 Thrombectomy with TICI 3 Reperfusion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Thrombectomy with TICI 3 Reperfusion

Use these documentation templates to ensure complete and accurate documentation for Thrombectomy with TICI 3 Reperfusion. These templates include all required elements for proper coding and billing.

Thrombectomy achieving TICI 3

Specialty: Neurointerventional Radiology

Required Elements

  • Access site
  • Device used
  • Number of passes
  • Final TICI score

Example Documentation

Access via right femoral artery, Solitaire stent retriever used, 2 passes, TICI 3 achieved.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Thrombectomy performed successfully.
Good Documentation Example
Thrombectomy performed with Solitaire device, 2 passes, TICI 3 achieved.
Explanation
The good example specifies the device, number of passes, and TICI score, providing complete documentation.

Need help with ICD-10 coding for Thrombectomy with TICI 3 Reperfusion? Ask your questions below.

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