ICD-10 Guide

Eliquis

ICD-10 Coding for Eliquis(I48.91, Z79.01, T45.515A)

PRIMARY SPECIALTYCardiology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Eliquis?

Essential facts and insights about Eliquis

Key Clinical Considerations:

Atrial fibrillation/flutter, venous thromboembolism
INR monitoring not required, renal function tests
Signs of bleeding, heart rate irregularities

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history, indication for anticoagulation, renal function
ICD-10-CM codes for atrial fibrillation, VTE
Examples: 'Patient diagnosed with atrial fibrillation on Eliquis for stroke prevention.'

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for anticoagulant therapy coding.
Common errors include incorrect diagnosis codes or lack of supporting documentation.

Code Exclusions

Important Exclusions

Patients with active bleeding disorders, severe renal impairment
Alternative codes for other anticoagulants like Warfarin

Specialty Focus

Primary Specialty

Cardiology

Specialty Applications

Patients with atrial fibrillation, patients with history of VTE
Cardiology clinics, outpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document indication for use, patient history, and any bleeding risks.

Billing considerations?

Ensure correct ICD-10 codes are used to support medical necessity.

Eliquis

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Eliquis

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?