Understand Non-Sustained Ventricular Tachycardia NSVT diagnosis, clinical significance, and ICD-10 coding guidelines. Find information on NSVT documentation, ECG interpretation, treatment options, and risk stratification. Learn about ventricular tachycardia symptoms, causes, and differential diagnoses. Explore resources for healthcare professionals on managing and coding NSVT episodes in clinical practice. This guide covers key aspects of NSVT for physicians, nurses, and medical coders.
Also known as
Paroxysmal ventricular tachycardia
A rapid heartbeat originating in the ventricles of the heart that starts and stops suddenly.
Ventricular tachycardia, unspecified
A rapid heartbeat originating in the ventricles, without further specification.
Other cardiac arrhythmias
Includes various heart rhythm disorders not classified elsewhere.
Symptoms, signs and abnormal clinical and laboratory findings
May be used to code for palpitations or other symptoms if NSVT is asymptomatic.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the NSVT associated with a structural heart disease?
Yes
Specify the underlying heart disease.
No
Is there any other identifiable cause?
When to use each related code
Description |
---|
Non-Sustained VT |
Sustained VT |
Premature Ventricular Contractions |
Coding requires specifying if NSVT onset is in-hospital or out-of-hospital, impacting DRG assignment and reimbursement.
Insufficient documentation of associated symptoms can lead to coding errors and affect clinical validation audits.
Accurate documentation of NSVT rate and duration is crucial for correct code assignment and risk stratification.
Patient presents with complaints suggestive of palpitations or presyncope. Electrocardiogram (ECG or EKG) reveals episodes of non-sustained ventricular tachycardia (NSVT), defined as three or more consecutive premature ventricular contractions (PVCs) at a rate greater than 100 beats per minute, lasting less than 30 seconds and terminating spontaneously. The patient's symptoms, if any, were consistent with ventricular arrhythmia. Baseline heart rate and rhythm outside of the NSVT episodes were noted as [Insert baseline rhythm, e.g., sinus rhythm with normal rate]. QRS morphology during NSVT was [describe morphology, e.g., monomorphic, polymorphic]. No sustained ventricular tachycardia or ventricular fibrillation was observed. Patient's medical history includes [list relevant medical history, e.g., hypertension, coronary artery disease, prior myocardial infarction, heart failure]. Current medications include [list current medications]. Assessment includes evaluation for underlying cardiac conditions contributing to NSVT, such as ischemic heart disease, cardiomyopathy, or valvular heart disease. Differential diagnosis includes other causes of palpitations such as supraventricular tachycardia, atrial fibrillation, and premature atrial contractions. Plan includes [describe plan, e.g., further investigation with echocardiogram, cardiac stress testing, Holter monitor or event recorder; initiation or adjustment of medications for rate control or underlying condition; lifestyle modifications such as reducing caffeine and alcohol intake; referral to cardiology for further evaluation and management]. Patient education provided regarding symptoms of arrhythmia, importance of medication adherence, and when to seek immediate medical attention. ICD-10 code I47.1 assigned.