ICD-10 Coding for Right Ventricular Hypertrophy(I42.8, I27.0)
Complete ICD-10-CM coding and documentation guide for Right Ventricular Hypertrophy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Ventricular Hypertrophy
I42-I43Primary Range
Cardiomyopathy
Includes codes for various types of cardiomyopathy, including those that may involve right ventricular hypertrophy.
Other pulmonary heart diseases
Includes codes for pulmonary hypertension, which can be a cause of right ventricular hypertrophy.
Heart failure
Includes codes for heart failure, which may accompany right ventricular hypertrophy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I42.8 | Other cardiomyopathies | Use when RVH is identified as a primary cardiomyopathy without a specified cause. |
|
| I27.0 | Primary pulmonary hypertension | Use when RVH is secondary to primary pulmonary hypertension. |
|
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 right ventricular hypertrophy
Essential facts and insights about Right Ventricular Hypertrophy
Primary ICD-10-CM Codes for right ventricular hypertrophy
Decision Criteria
clinical Criteria
- Echocardiogram confirming RV wall thickness >5 mm
documentation Criteria
- Documentation must specify RVH as primary cardiomyopathy
Applicable To
- Right ventricular hypertrophy when specified as primary cardiomyopathy
Excludes
- Arrhythmogenic right ventricular dysplasia (I42.8)
Clinical Validation Requirements
- Echocardiogram showing RV wall thickness >5 mm
- Exclusion of arrhythmogenic RV dysplasia
Code-Specific Risks
- Misclassification if underlying cause is not documented
Coding Notes
- Ensure documentation specifies RVH as primary if using this code.
I27.0 - Primary pulmonary hypertension
Use when RVH is secondary to primary pulmonary hypertension.
Applicable To
- Pulmonary hypertension leading to RVH
Excludes
- Secondary pulmonary hypertension (I27.2)
Clinical Validation Requirements
- Echocardiogram showing pulmonary artery pressure >25 mmHg at rest
Coding Notes
Ensure pulmonary hypertension is documented as primary.
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 Right Ventricular Hypertrophy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I42.8.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Use structured documentation templates., Ensure all diagnostic tests are reviewed and documented.
Impact
Reimbursement: May lead to lower reimbursement due to unspecified coding., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use I42.8 when RVH is specified as primary cardiomyopathy.
Impact
Audits may focus on whether RVH is coded with appropriate specificity.
Mitigation Strategy
Ensure all documentation includes specific cause and diagnostic criteria.
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 Right Ventricular Hypertrophy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Ventricular Hypertrophy
Use these documentation templates to ensure complete and accurate documentation for Right Ventricular Hypertrophy. These templates include all required elements for proper coding and billing.
RVH secondary to pulmonary hypertension
Specialty: CardiologyRequired Elements
- Echocardiogram results
- Pulmonary artery pressure
- Cause of RVH
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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