Cardiology Coding Alert

Reader Question:

Rely on I47.1 for Paroxysmal Supraventricular Tachycardia Dx

Question: The cardiologist documented paroxysmal supraventricular tachycardia. How should I report this condition?

Wisconsin Subscriber

Answer: You should report I47.1 (Supraventricular tachycardia) for this condition. Supraventricular 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.

Included conditions for I47.1 include:

  • Atrial (paroxysmal) tachycardia
  • Atrioventricular [AV] (paroxysmal) tachycardia
  • Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
  • Junctional (paroxysmal) tachycardia
  • Nodal (paroxysmal) tachycardia.

Don’t miss:  A code first note instructs you to sequence tachycardia complicating the following conditions first, followed by I47.1:

  • O00.0 (Abdominal pregnancy) through O07 (Failed attempted termination of pregnancy)
  • O08 (Complications following ectopic and molar pregnancy)
  • O75.4 (Other complications of obstetric surgery and procedures).