Ensure documents are signed and dated by a credentialed provider.Document legibly, clearly and concisely.Include patient demographics, such as name and date of birth, and date ofservice in all progress notes.The type of AF(paroxysmal, persistent, permanent or history of) should be documentedconsistently throughout the note to avoid unspecified codes that don't fullydefine the member's condition. Only one code may be assigned for a specific type of AF.Document in the note any current associated physical exam findings (suchas irregular heart rhythm or increased heart rate) and related diagnostictesting results.In coding, "history of" indicates a condition is no longer active.Chronic persistent AF has no widely accepted clinical definition or meaning.Chronic AF, unspecified (I48.20) may refer to any persistent, longstanding persistent orpermanent AF.Permanent AF (I48.21) is persistent or longstanding persistent AF where cardioversion cannot orwill not be performed, or is not indicated.Persistent AF (I48.11) describes AF that does not terminate within seven days, or that requiresrepeat pharmacological or electrical cardioversion.This information is from the ICD-10-CM Official Guidelines for Coding and Reporting and the sources listed below*.Īccording to ICD-10-CM guidelines,these four unique codes describe the types of AF: Below are resources for documenting and coding atrialfibrillation (AF). High quality documentation and complete,accurate coding can help capture our members' health status and promotecontinuity of care.
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