ICD-10 Diagnosis Code I49.5

Sick sinus syndrome

Diagnosis Code I49.5

ICD-10: I49.5
Short Description: Sick sinus syndrome
Long Description: Sick sinus syndrome
This is the 2017 version of the ICD-10-CM diagnosis code I49.5

Code Classification
  • Diseases of the circulatory system
    • Other forms of heart disease (I30-I52)
      • Other cardiac arrhythmias (I49)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code I49.5 is grouped in the following Diagnostic Related Group(s) (MS-DRG v33.0)


Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Bradyarrhythmia
  • Familial sick sinus syndrome
  • Postoperative sinoatrial disease
  • Sick sinus syndrome
  • Sinus node dysfunction
  • Tachycardia-bradycardia

Index of Diseases and Injuries
References found for the code I49.5 in the Index of Diseases and Injuries:

Information for Patients


Also called: Irregular heartbeat

An arrhythmia is a problem with the rate or rhythm of your heartbeat. It means that your heart beats too quickly, too slowly, or with an irregular pattern. When the heart beats faster than normal, it is called tachycardia. When the heart beats too slowly, it is called bradycardia. The most common type of arrhythmia is atrial fibrillation, which causes an irregular and fast heart beat.

Many factors can affect your heart's rhythm, such as having had a heart attack, smoking, congenital heart defects, and stress. Some substances or medicines may also cause arrhythmias.

Symptoms of arrhythmias include

  • Fast or slow heart beat
  • Skipping beats
  • Lightheadedness or dizziness
  • Chest pain
  • Shortness of breath
  • Sweating

Your doctor can run tests to find out if you have an arrhythmia. Treatment to restore a normal heart rhythm may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery.

NIH: National Heart, Lung, and Blood Institute

  • Arrhythmias
  • Atrial fibrillation or flutter
  • Cardiac ablation procedures
  • Ectopic heartbeat
  • Electrocardiogram
  • Exercise stress test
  • Heart palpitations
  • Holter monitor (24h)
  • Paroxysmal supraventricular tachycardia (PSVT)
  • Ventricular tachycardia
  • Wolff-Parkinson-White syndrome

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Sick sinus syndrome Sick sinus syndrome (also known as sinus node dysfunction) is a group of related heart conditions that can affect how the heart beats. "Sick sinus" refers to the sino-atrial (SA) node, which is an area of specialized cells in the heart that functions as a natural pacemaker. The SA node generates electrical impulses that start each heartbeat. These signals travel from the SA node to the rest of the heart, signaling the heart (cardiac) muscle to contract and pump blood. In people with sick sinus syndrome, the SA node does not function normally. In some cases, it does not produce the right signals to trigger a regular heartbeat. In others, abnormalities disrupt the electrical impulses and prevent them from reaching the rest of the heart.Sick sinus syndrome tends to cause the heartbeat to be too slow (bradycardia), although occasionally the heartbeat is too fast (tachycardia). In some cases, the heartbeat rapidly switches from being too fast to being too slow, a condition known as tachycardia-bradycardia syndrome. Symptoms related to abnormal heartbeats can include dizziness, light-headedness, fainting (syncope), a sensation of fluttering or pounding in the chest (palpitations), and confusion or memory problems. During exercise, many affected individuals experience chest pain, difficulty breathing, or excessive tiredness (fatigue). Once symptoms of sick sinus syndrome appear, they usually worsen with time. However, some people with the condition never experience any related health problems.Sick sinus syndrome occurs most commonly in older adults, although it can be diagnosed in people of any age. The condition increases the risk of several life-threatening problems involving the heart and blood vessels. These include a heart rhythm abnormality called atrial fibrillation, heart failure, cardiac arrest, and stroke.
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