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ICD-10 Coding for Wolff-Parkinson-White Syndrome(I45.6)

Complete ICD-10-CM coding and documentation guide for Wolff-Parkinson-White Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

WPW SyndromePre-excitation Syndrome

Related ICD-10 Code Ranges

Complete code families applicable to Wolff-Parkinson-White Syndrome

I45.6Primary Range

Pre-excitation syndromes including Wolff-Parkinson-White syndrome

This range includes the primary ICD-10 code for Wolff-Parkinson-White syndrome.

Other cardiac arrhythmias

This range includes codes for arrhythmias that may be associated with WPW syndrome.

Key Information: ICD-10 code for Wolff-Parkinson-White syndrome

Essential facts and insights about Wolff-Parkinson-White Syndrome

The ICD-10 code for Wolff-Parkinson-White syndrome is I45.6.

Primary ICD-10-CM Code for wolff parkinson white syndrome

Pre-excitation syndrome
Billable Code

Decision Criteria

clinical Criteria

  • Presence of delta waves on ECG

documentation Criteria

  • Detailed ECG report confirming WPW

Applicable To

  • Wolff-Parkinson-White syndrome
  • Lown-Ganong-Levine syndrome

Excludes

  • Other specified conduction disorders (I45.8)

Clinical Validation Requirements

  • ECG showing short PR interval and delta waves
  • Electrophysiological study confirming accessory pathway

Code-Specific Risks

  • Misclassification as general tachycardia without specifying WPW

Coding Notes

  • Ensure ECG findings are documented to support WPW diagnosis.

Ancillary Codes

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

Supraventricular tachycardia

I47.1
Use for episodes of tachycardia associated with WPW.

Differential Codes

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

Other specified conduction disorders

I45.8
Use when conduction disorder is not WPW or LGL.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Wolff-Parkinson-White Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I45.6.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Ensure all ECG findings are recorded in the patient's chart., Use standardized templates for documentation.

Impact

Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always use I45.6 for confirmed WPW cases.

Impact

Lack of detailed ECG findings can lead to audit issues.

Mitigation Strategy

Implement thorough documentation practices.

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 Wolff-Parkinson-White Syndrome, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Wolff-Parkinson-White Syndrome

Use these documentation templates to ensure complete and accurate documentation for Wolff-Parkinson-White Syndrome. These templates include all required elements for proper coding and billing.

Cardiology consult for WPW

Specialty: Cardiology

Required Elements

  • Patient symptoms
  • ECG findings
  • Electrophysiology study results

Example Documentation

Patient presents with palpitations and syncope. ECG shows delta waves. EP study confirms accessory pathway.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has tachycardia.
Good Documentation Example
Patient presents with palpitations. ECG shows delta waves. Diagnosis: WPW syndrome.
Explanation
The good example provides specific ECG findings supporting WPW diagnosis.

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