Not Valid for Submission
I49 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other cardiac arrhythmias. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Other cardiac arrhythmias
Non-specific codes like I49 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for other cardiac arrhythmias:
Tabular List of Diseases and Injuries
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 I49:
Code FirstCode 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.
- cardiac arrhythmia complicating:
- abortion or ectopic or molar pregnancy O00 O07 O08.8
- obstetric surgery and procedures O75.4
Type 1 ExcludesType 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.
- neonatal dysrhythmia P29.1
- sinoatrial bradycardia R00.1
- sinus bradycardia R00.1
- vagal bradycardia R00.1
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- bradycardia NOS R00.1
- ARRHYTHMIAS CARDIAC-. any disturbances of the normal rhythmic beating of the heart or myocardial contraction. cardiac arrhythmias can be classified by the abnormalities in heart rate disorders of electrical impulse generation or impulse conduction.
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
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 (Medical Encyclopedia)
- Atrial fibrillation or flutter (Medical Encyclopedia)
- Cardiac ablation procedures (Medical Encyclopedia)
- Ectopic heartbeat (Medical Encyclopedia)
- Electrocardiogram (Medical Encyclopedia)
- Exercise stress test (Medical Encyclopedia)
- Heart palpitations (Medical Encyclopedia)
- Holter monitor (24h) (Medical Encyclopedia)
- Paroxysmal supraventricular tachycardia (PSVT) (Medical Encyclopedia)
- Ventricular tachycardia (Medical Encyclopedia)
- Wolff-Parkinson-White syndrome (Medical Encyclopedia)
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