AAPC - Back to school
Results 1 to 2 of 2

Thread: PSVT (427.0) versus SVT (427.89)

  1. #1

    Default PSVT (427.0) versus SVT (427.89)

    AAPC: Back to School
    Can anyone give me advice on what documentation, other than the word paroxysmal, supports the assignment of PSVT or SVT? I need something to educate physicians with. Apparently, based on my research, these are the same condition and in ICD-10 will be the same code. But for now, in ICD-9 they are different codes. We get paid differently for each of these diagnoses in Risk Adjustment and I am trying to avoid an appearance of upcoding under ICD-9. I appreciate any insight you can provide. Thanks.

  2. #2


    Paroxysmal supraventricular tachycardia (PSVT) is episodic, with an abrupt onset and termination. I would look for sudden onset documentation or an EKG or rhythm strip that shows the patient's baseline rhythm converting to PSVT. If the provider only documented SVT with the above notation, I would query him.

Similar Threads

  1. Denial of pacer 33208 with 427.89 dx
    By sandya in forum Cardiology
    Replies: 4
    Last Post: 08-24-2015, 08:53 AM
  2. Electrophysiology SVT abaltion?
    By Chlrtrep in forum Cardiology
    Replies: 0
    Last Post: 12-11-2014, 11:58 AM
  3. 22 modifier with SVT ablations
    By gaykahler in forum Cardiology
    Replies: 2
    Last Post: 11-09-2014, 07:26 PM
  4. Difference between V12.53 and 427.5?
    By hshampaner in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-16-2014, 08:18 AM
  5. 427.5
    By Bobby A in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-20-2009, 04:07 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.