ICD-10 Coding for Third-Degree Heart Block(I44.2)
Complete ICD-10-CM coding and documentation guide for Third-Degree Heart Block. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Third-Degree Heart Block
I44-I45Primary Range
Conduction disorders
This range includes all types of heart block, with I44.2 specifically for complete heart block.
Key Information: ICD-10 code for third-degree heart block
Essential facts and insights about Third-Degree Heart Block
Primary ICD-10-CM Code for third degree heart block
Decision Criteria
clinical Criteria
- ECG shows complete AV dissociation with independent atrial and ventricular rates.
documentation Criteria
- Document symptoms such as syncope or bradycardia.
Applicable To
- Third-degree AV block
- Complete heart block
Clinical Validation Requirements
- ECG showing complete AV dissociation
- Ventricular rate <50 bpm
- No conducted P waves
Code-Specific Risks
- Confusion with second-degree AV block
- Misinterpretation of ECG findings
Coding Notes
- Ensure ECG findings are documented to support the diagnosis of complete heart block.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of other cardiac functional implants
Z95.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Third-Degree Heart Block to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I44.2.
Impact
Clinical: May lead to inappropriate management decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to insufficient documentation.
Mitigation Strategy
Ensure all symptoms are documented in the patient's record., Use templates to guide comprehensive documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation specifies 'complete' or 'third-degree' block.
Impact
Lack of detailed ECG findings can lead to audit issues.
Mitigation Strategy
Implement documentation templates and regular training for staff.
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 Third-Degree Heart Block, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Third-Degree Heart Block
Use these documentation templates to ensure complete and accurate documentation for Third-Degree Heart Block. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Syncope
Specialty: CardiologyRequired Elements
- Chief complaint
- History of present illness
- ECG findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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