Wiki Coding tachycardia and dizziness for pregnact patient

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C
Code: R42

Code Name: ICD-10 Code for Dizziness and giddiness

Block: Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2: symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Details: Dizziness and giddiness

Excludes 1: vertiginous syndromes (H81.-)
vertigo from infrasound (T75.23)
Light-headedness
Vertigo NOS

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details, visit: https://coder.aapc.com/icd-10-codes/R42

citygirl

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Good Afternoon,

Can anyone assist me with coding maternal tachycardia and dizziness in a 28 week pregnant patient? The coder coded O26.893 and R42, R00.0 which I am not sure is correct. I have been unable to find any good resource to help me with this question.

Appreciate any information :)
 

megg1100

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Tachycardia in pregnancy

I wouldn't use O26.893 unless it is specifically documented the condition is being caused by the pregnancy. When I have patients with palpitations or conduction related disorders, I use O99.89. OB isn't my specialty though, so if I'm doing it incorrectly, please let me know.
 

hollyw42

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I wouldn't use O26.893 unless it is specifically documented the condition is being caused by the pregnancy. When I have patients with palpitations or conduction related disorders, I use O99.89. OB isn't my specialty though, so if I'm doing it incorrectly, please let me know.
I agree. I tend to gravitate more towards O99.89 unless as you stated I am given an indication the condition was caused by the pregnancy.
 

Faith@032413

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Yes, I too prefer the code for{ O99.89- Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium}, the condition present for the patient is complicating the childbirth, and it is not due to occurrence from pregancy duration.
 
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