Cardiology Coding Alert

ICD-10-CM:

427.0 and I47.1 Are Almost a Perfect Match

SVT and PSVT fall under the same ICD-10 code.Paroxysmal supraventricular tachycardia is a fairly common diagnosis, so you need to be sure you're prepared to code for it when ICD-10 replaces ICD-9.ICD-9-CM Code427.0, Paroxysmal supraventricular tachycardiaICD-10-CM CodeI47.1, Supraventricular tachycardiaSupraventricular tachycardia refers to a faster than normal heart rate that originates in the atria or the atrioventricular node. "Paroxysmal" means the rapid heart rate happens occasionally.ICD-9 coding rules: Code 427.0 applies to paroxysmal tachycardia documented as supraventricular, atrial (PAT), atrioventricular (AV), junctional, or nodal.ICD-10 changes: ICD-10 crosses 427.0 to I47.1, which applies to tachycardia documented as atrial, AV, junctional, or nodal. The documentation may or may not include the term paroxysmal. Additionally, the code applies to AV re-entrant (nodal) tachycardia.ICD-10 indexes both supraventricular tachycardia and paroxysmal supraventricular tachycardia to I47.1. ICD-9 indexes paroxysmal supraventricular tachycardia to 427.0 and supraventricular tachycardia (not identified as paroxysmal) to 427.89 (Other specified cardiac dysrhythmias).Documentation: Your [...]
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