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I47.2
ICD-10-CM
Non-Sustained Ventricular Tachycardia

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

NSVT
Non-Sustained VT
paroxysmal ventricular tachycardia

Diagnosis Snapshot

Key Facts
  • Definition : A rapid heart rhythm originating in the ventricles, lasting less than 30 seconds.
  • Clinical Signs : Often asymptomatic, but may cause palpitations, dizziness, or lightheadedness.
  • Common Settings : Detected on ECG, Holter monitor, or during cardiac stress testing.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I47.2 Coding
I47.1

Paroxysmal ventricular tachycardia

A rapid heartbeat originating in the ventricles of the heart that starts and stops suddenly.

I47.9

Ventricular tachycardia, unspecified

A rapid heartbeat originating in the ventricles, without further specification.

I49

Other cardiac arrhythmias

Includes various heart rhythm disorders not classified elsewhere.

R00-R99

Symptoms, signs and abnormal clinical and laboratory findings

May be used to code for palpitations or other symptoms if NSVT is asymptomatic.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Non-Sustained VT
Sustained VT
Premature Ventricular Contractions

Documentation Best Practices

Documentation Checklist
  • NSVT diagnosis: Onset, duration, & termination
  • ECG documentation: Rate, rhythm, morphology
  • Symptoms during NSVT episode (if any)
  • Precipitating factors, if known
  • Differential diagnoses considered & ruled out

Coding and Audit Risks

Common Risks
  • Unspecified Onset

    Coding requires specifying if NSVT onset is in-hospital or out-of-hospital, impacting DRG assignment and reimbursement.

  • Symptom Documentation

    Insufficient documentation of associated symptoms can lead to coding errors and affect clinical validation audits.

  • Rate and Duration

    Accurate documentation of NSVT rate and duration is crucial for correct code assignment and risk stratification.

Mitigation Tips

Best Practices
  • Document NSVT episode duration, symptoms, and frequency for accurate ICD-10-CM coding (I47.1).
  • Correlate ECG findings with clinical context for improved CDI of NSVT. Query physician for clarity.
  • Ensure proper documentation of any interventions or medications prescribed for NSVT episodes.
  • Review patient history for cardiac risk factors and comorbidities to support medical necessity and compliance.
  • Follow established protocols for NSVT management, including follow-up monitoring and patient education.

Clinical Decision Support

Checklist
  • Verify 3+ consecutive PVCs, rate >100 bpm, duration <30 seconds (ICD-10 I47.1)
  • Confirm NSVT termination is spontaneous, not by intervention (SNOMED CT 308277002)
  • Document underlying heart disease or cause if known (e.g., CAD, cardiomyopathy)
  • Assess symptoms: palpitations, dizziness, syncope (ICD-10 R00.2, R42, R55)

Reimbursement and Quality Metrics

Impact Summary
  • Non-Sustained Ventricular Tachycardia reimbursement impacts coding accuracy, impacting DRG assignment and hospital payments. Optimize ICD-10-CM codes I47.1 or I47.2 for accurate claims.
  • Accurate NSVT diagnosis coding affects quality metrics like cardiac event readmission rates, impacting hospital value-based purchasing reimbursements and public reporting.
  • Coding and documentation clarity for NSVT impacts physician performance metrics tied to appropriate testing and treatment, influencing pay-for-performance incentives.
  • Proper NSVT documentation and coding supports accurate risk adjustment, impacting hospital reimbursement for patients with complex conditions and comorbidities.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code I47.1 for NSVT
  • Document NSVT duration
  • Specify symptom onset
  • Note termination method
  • Exclude sustained VT (I47.2)

Documentation Templates

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.
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