Include patient demographics, such as name and date of birth, and date of service in all progress notes.The type of AF (paroxysmal, persistent, permanent or history of) should be documented consistently throughout the note to avoid unspecified codes that don’t fully define the member’s condition. #Episodic atrial flutter icd 10 codeOnly one code may be assigned for a specific type of AF.Document in the note any current associated physical exam findings (such as irregular heart rhythm or increased heart rate) and related diagnostic testing results.In coding, "history of" indicates a condition is no longer active.Code I48.19, Other persistent atrial fibrillation, should be assigned. Chronic persistent AF has no widely accepted clinical definition or meaning.Chronic AF, unspecified (I48.20) may refer to any persistent, longstanding persistent or permanent AF.Permanent AF (I48.21) is persistent or longstanding persistent AF where cardioversion cannot or will not be performed, or is not indicated.Persistent AF (I48.11) describes AF that does not terminate within seven days, or that requires repeat pharmacological or electrical cardioversion.This guidance is from the ICD-10-CM Official Guidelines for Coding and Reporting and industry-approved sources.Īccording to ICD-10-CM guidelines,these four unique codes describe the types of AF: Below are tips for documenting and coding atrial fibrillation (AF). High quality documentation and complete, accurate coding can help capture our members’ health status and promote continuity of care.
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