ICD-10 Coding for Hypoplastic Right Heart Syndrome(Q22.6)
Complete ICD-10-CM coding and documentation guide for Hypoplastic Right Heart Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypoplastic Right Heart Syndrome
Q20-Q28Primary Range
Congenital malformations of the circulatory system
This range includes congenital heart defects, under which HRHS is categorized.
Key Information: ICD-10 code for Hypoplastic Right Heart Syndrome
Essential facts and insights about Hypoplastic Right Heart Syndrome
Primary ICD-10-CM Code for syndrome
Decision Criteria
clinical Criteria
- Echocardiogram confirms hypoplastic right ventricle and pulmonary atresia.
documentation Criteria
- Detailed anatomical description including associated defects.
Applicable To
- Hypoplastic right ventricle
- Pulmonary atresia
Clinical Validation Requirements
- Echocardiogram showing hypoplastic right ventricle
- Documented pulmonary atresia or stenosis
Code-Specific Risks
- Misclassification with other congenital heart defects
- Failure to document anatomical specifics
Coding Notes
- Ensure detailed anatomical documentation to support HRHS coding.
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 Hypoplastic Right Heart Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q22.6.
Impact
Clinical: Incomplete clinical picture affecting treatment planning., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denials due to insufficient documentation.
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use I27.0 for acquired conditions.
Impact
Lack of detailed anatomical documentation can lead to audit flags.
Mitigation Strategy
Implement mandatory echocardiogram reporting in patient records.
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 Hypoplastic Right Heart Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypoplastic Right Heart Syndrome
Use these documentation templates to ensure complete and accurate documentation for Hypoplastic Right Heart Syndrome. These templates include all required elements for proper coding and billing.
Newborn with HRHS
Specialty: Pediatric CardiologyRequired Elements
- Anatomical description
- Echocardiogram findings
- Hemodynamic status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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