Valid for Submission
I49.5 is a billable diagnosis code used to specify a medical diagnosis of sick sinus syndrome. The code I49.5 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I49.5 might also be used to specify conditions or terms like complete deafness, congenital deafness, familial sick sinus syndrome, postoperative sinus node dysfunction, sick sinus syndrome , sinoatrial node dysfunction and deafness, etc.
The code is commonly used in cardiology medical specialties to specify clinical concepts such as cardiac arrhythmias (other).
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 I49.5:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Tachycardia-bradycardia syndrome
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I49.5 are found in the index:
- - Bradytachycardia - I49.5
- - Pause, sinoatrial - I49.5
- - Syndrome - See Also: Disease;
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Complete deafness
- Congenital deafness
- Familial sick sinus syndrome
- Postoperative sinus node dysfunction
- Sick sinus syndrome
- Sinoatrial node dysfunction and deafness
- SICK SINUS SYNDROME-. a condition caused by dysfunctions related to the sinoatrial node including impulse generation cardiac sinus arrest and impulse conduction sinoatrial exit block. it is characterized by persistent bradycardia chronic atrial fibrillation and failure to resume sinus rhythm following cardioversion. this syndrome can be congenital or acquired particularly after surgical correction for heart defects.
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|308||CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC||05||1.1993|
|309||CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC||05||0.7494|
|310||CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC||05||0.5584|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert I49.5 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I49.5 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
[Learn More in MedlinePlus]
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.
[Learn More in MedlinePlus]