Paroxysmal tachycardia (I47)
Clinical Information
Torsades de Pointes - A malignant form of polymorphic ventricular tachycardia that is characterized by HEART RATE between 200 and 250 beats per minute, and QRS complexes with changing amplitude and twisting of the points. The term also describes the syndrome of tachycardia with prolonged ventricular repolarization, long QT intervals exceeding 500 milliseconds or BRADYCARDIA. Torsades de pointes may be self-limited or may progress to VENTRICULAR FIBRILLATION.
Instructional Notations
Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- tachycardia complicating:
- abortion or ectopic or molar pregnancy O00 O07 O08.8
- obstetric surgery and procedures O75.4
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" 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.
Diseases of the circulatory system (I00–I99)
Other forms of heart disease (I30-I5A)
I47 Paroxysmal tachycardia
- I47.0 Re-entry ventricular arrhythmia
I47.1 Supraventricular tachycardia NEW CODE
- I47.10 Supraventricular tachycardia, unspecified NEW CODE
- I47.11 Inappropriate sinus tachycardia, so stated NEW CODE
- I47.19 Other supraventricular tachycardia NEW CODE
I47.2 Ventricular tachycardia
- I47.20 Ventricular tachycardia, unspecified
- I47.21 Torsades de pointes
- I47.29 Other ventricular tachycardia
- I47.9 Paroxysmal tachycardia, unspecified
Paroxysmal tachycardia (I47)