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Home/Diagnosis/ICD-10 Coding for Patent Foramen Ovale

ICD-10 Coding for Patent Foramen Ovale

Q21.12
I63.50

Complete ICD-10-CM coding and documentation guide for icd-10 coding for patent foramen ovale includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
PFO
Foramen Ovale Patency
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Key Information: ICD-10 Coding for Patent Foramen Ovale

Essential facts and insights about ICD-10 Coding for Patent Foramen Ovale

Use ICD-10 code Q21.12 for patent foramen ovale, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Patent Foramen Ovale

Billable Code
Q21.12
Billable

Diagnostic Criteria

clinical:
  • • Echocardiogram shows PFO with shunt
documentation:
  • • Detailed echocardiogram report

Applicable To

  • • Congenital PFO

Important Notes

  • • Ensure echocardiographic evidence is documented.

Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery

Billable Code
I63.50
Billable

Diagnostic Criteria

clinical:
  • • MRI/CT confirming ischemic stroke
  • • Exclusion of other stroke causes

Applicable To

  • • Cryptogenic stroke

Important Notes

  • • Ensure stroke workup excludes other causes.
Ancillary Codes

Additional codes that may be used with this diagnosis

I63.50

Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery

Use when PFO is associated with cryptogenic stroke.

Frequently Asked Questions

What is the ICD-10 code for patent foramen ovale?

The ICD-10 code for patent foramen ovale is Q21.12, used for congenital PFO confirmed by echocardiography.

When should I use code I63.50 with PFO?

Use I63.50 when a cryptogenic stroke is linked to a PFO, confirmed by imaging and exclusion of other causes.

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