Apparent life threatening event in infant (ALTE) 2016 2017 2018 2019 2020 2021 Billable/Specific Code Pediatric Dx (0-17 years) R68.13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM R68.13 became effective on October 1, 2020.
There may be a code for ICD-10 but the US is using ICD-10 CM. ICD-11 also will not be used in the US so we will wait for ICD-11 CM, which may take years (I have read possibly 2025).
References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "brue (brief resolved unexplained event)". BRUE (brief resolved unexplained event) - R68.13 Apparent life threatening event in infant (ALTE)
It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . Pediatric diagnoses - Age range is 0–17 years inclusive (e.g., Reye’s syndrome, routine child health exam).
ICD-10 code R68. 89 for Other general symptoms and signs is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R29. 818 - Other symptoms and signs involving the nervous system | ICD-10-CM.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
ICD-10 code Z71. 2 for Person consulting for explanation of examination or test findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
I63. 9 - Cerebral infarction, unspecified | ICD-10-CM.
82 Altered mental status, unspecified.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
11 or Z51. 12 is the only diagnosis on the line, then the procedure or service will be denied because this diagnosis should be assigned as a secondary diagnosis. When the Primary, First-Listed, Principal or Only diagnosis code is a Sequela diagnosis code, then the claim line will be denied.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
Z71.2 as principal diagnosis According to the tabular index, a symbol next to the code indicates that it is an unacceptable principal diagnosis per Medicare code edits. This applies for outpatient and inpatient care.
Z71. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
icd10 - Z712: Person consulting for explanation of examination or test findings.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
code (s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.
R68.13 is a valid billable ICD-10 diagnosis code for Apparent life threatening event in infant (ALTE) . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together. A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.
An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. A type 2 Excludes note represents 'Not included here'.
NEC Not elsewhere classifiable#N#This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.
R68.13 is a billable diagnosis code used to specify a medical diagnosis of apparent life threatening event in infant (alte). The code R68.13 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R68.13:
code (s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE.
Use Additional Code. The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
History. In 1986, the National Institute of Health defined an apparent life-threatening event ( ALTE ) as an observed frightening event of an infant that includes at least one component of lack of breathing (apnea), skin color change (such as cyanosis ), weakness, choking, or gagging.
Because of this, a BRUE can also be considered as a subset of ALTE. The term change was also recommended in large part due to the "life-threatening" suggestion from the older term.
Causes. Most infants who have a BRUE are never diagnosed with a definitive cause for the event. However, we use the literature on ALTEs, which is more extensive, to help explain the cause of a BRUE. These causes may also be considered conditions that can be confused with a BRUE.