Used for medical claim reporting in all healthcare settings, ICD-10-CM is a standardized classification system of diagnosis codes that represent conditions and diseases, related health problems, abnormal findings, signs and symptoms, injuries, external causes of injuries and diseases, and social circumstances.
ICD-10-CM Common Codes for Gynecology and Obstetrics ICD-10 Code Diagnoses Menstrual Abnormalities N91.2 Amenorrhea N91.5 Oligomenorrhea N92.0 Menorrhagia N92.1 Metrorrhagia N92.6 Irregular Menses N93.8 Dysfunctional Uterine Bleeding N94.3 Premenstrual Syndrome N94.6 Dysmenorrhea Disorders Of Genital Area L29.3 Vaginal Itch N73.9 N75.0 Bartholin’s Cyst N76.0
Syncope is in the ICD-10 coding system coded as R55. 9 (syncope and collapse).
A spontaneous loss of consciousness caused by insufficient blood supply to the brain.
ICD-10-CM Diagnosis Code O11 O11.
Assign R55 Syncope and collapse for neurocardiogenic syncope. [Effective 07 Jun 2017, ICD-10-AM/ACHI/ACS 9th Ed.]
R55 - Syncope and collapse | ICD-10-CM.
OverviewAutonomic Nervous System (ANS)The ANS automatically controls many functions of the body, such as breathing, blood pressure, heart rate and bladder control. ... Vasovagal syncope (also called cardio-neurogenic syncope)Situational syncope.Postural syncope (also called postural hypotension)Neurologic syncope.More items...•
Syncope is a temporary loss of consciousness usually related to insufficient blood flow to the brain. It's also called fainting or "passing out."
Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter. S06. 9X9A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S06.
Cardiac syncope is a transient loss of consciousness due to a defect, either structural or electrical, which prevents the generation of enough cardiac output to perfuse the brain adequately.
The ICD10 code for the diagnosis "Syncope and collapse" is "R55". R55 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions.
The 2019 edition of ICD-10-CM R55 became effective on October 1, 2018.
When no related condition is defined and the symptom is the reason for the encounter, a code from Chapter 18 is assigned as the principal diagnosis even though other unrelated diagnoses may be listed. Other situations in which codes from Chapter 18 can be appropriately used as the principal diagnosis for an inpatient admission include the following:
A provisional diagnosis of a sign or symptom is made for a patient who fails to return for further investigation of care.
The code excluded should not be used at the same time as the code above the Excludes 1 note. The two conditions cannot be coded together, except when the two conditions are unrelated to each other.
The two conditions cannot be coded together, except when the two conditions are unrelated to each other. Syncope Exclude 1 notes include: Editor’s note: Kuqi is the CDI supervisor at Prime Healthcare in Philadelphia. Click here to read the first part of this series.
In conclusion, ICD-10 coding for the identification of those with syncope who visit an ED or who are admitted to a hospital is highly specific. To identify a cohort of true syncope patients, the ICD-10 coding R55.9 can be used with a positive predictive value of 95% and a sensitivity of 63%.
Another important finding is that 62.7% of cases with syncope are covered by the discharge diagnosis of R55.9, whereas the remaining part of syncope is covered by a wide range of discharge diagnosis, mostly cardiologic, such as third-degree atrioventricular block, myocardial infarction, and some observation codes.
Accuracy of syncope coded in administrative data is high across all hospital settings. We showed that accuracy of syncope coding by physicians is high, whether the encounter (patient visit) was an ED visit or a hospital admission, and whether it was at a centre with a syncope clinic or a non-specialized unit. This probably reflects that physicians in these settings use the same coding guidelines throughout the health region and we would expect similar findings in other hospitals across the country. The finding corresponds with the lone validation study of administrative coding of syncope 4 from the USA. A high validity has been found in other countries of other conditions such as epilepsy, amyotrophic lateral sclerosis, and stroke, 17–19 but other validation studies have proved that this cannot be extrapolated to all diseases or symptoms. 20, 21
ED and hospital discharge diagnostic coding for syncope has a positive predictive value of 95% and a sensitivity of 63%.
Another important finding is that 62.7% of cases with syncope are covered by the discharge diagnosis of R55.9, whereas the remaining part of syncope is covered by a wide range of discharge diagnosis , mostly cardiologic, such as third-degree atrioventricular block, myocardial infarction, and some observation codes. To our knowledge, this study is the first to systematically validate administrative data against medical chart data for the identification of syncope, either admitted or seen in an ED. A high positive predictive value suggests that the proposed coding can be used to identify patients with syncope in administrative databases with a high level of accuracy, introducing the possibility of epidemiological surveillance, whereas one-third of patients suffering syncope are not included in the R55.9 diagnosis limiting the use of R55.9 when investigating syncope as an outcome in epidemiological studies or in drug-related adverse effects. However, reliable data can be extracted from this administrative coding regarding hospitalization costs due to syncope, in-hospital days, and estimations in general. The general evaluation of a patient with syncope involves a myriad of diagnostic tests, but the annual cost of syncope-related admissions is very hard to calculate as no administrative coding is specifically designed to syncope. It is, however, estimated that the annual costs of syncope-related admissions in the USA exceeds $2 billion. 14 Syncope accounted for 1.4% of all medically hospitalized patients which is comparable with other retrospective studies and to our recent study on nationwide incidence. 1, 2, 4, 15, 16
Syncope is a common condition associated with frequent hospitalizations or emergency department (ED) visits. 1–4 It is difficult to evaluate and is associated with a high mortality rate in selected subgroups of patients. 5–11 Hospital discharge diagnoses are frequently used to identify syncope subjects in epidemiological observational studies, but no validation studies have been carried out on the International Classification of Diseases (ICD), 1994, the 10th revision (ICD-10) discharge diagnosis.
Prospective syncope observational programs are extremely rare, primarily because of the high cost and therefore administrative registries have become a highly sought after source of data for disease observation, assessment of health resource consumption, and evaluation of outcomes.