2026 ICD-10-CM Diagnosis Code I48.92
Unspecified atrial flutter
- ICD-10-CM Code:
 - I48.92
 - ICD-10 Code for:
 - Unspecified atrial flutter
 - Is Billable?
 - Yes - Valid for Submission
 - Chronic Condition Indicator: [1]
 - Chronic
 - Code Navigator:
 
I48.92 is a billable diagnosis code used to specify a medical diagnosis of unspecified atrial flutter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. 
 The code is commonly used in cardiology  medical specialties to specify clinical concepts such as atrial fibrillation and flutter. 
 Unspecified diagnosis codes like I48.92 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Atrial flutter
 - Chronic atrial flutter
 - EKG: atrial flutter
 - Idiopathic neonatal atrial flutter
 - Neonatal dysrhythmia
 - Paroxysmal atrial flutter
 
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Cardiac dysrhythmias
CCSR Code: CIR017
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Atrial Flutter
rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. unlike atrial fibrillation which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. as in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart (heart ventricles).
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- Flutter
- atrial or auricular - I48.92
- atrial or auricular - I48.92
Index of External Cause of Injuries
References found for this diagnosis code in the External Cause of Injuries Index:
- Flutter
 - atrial or auricular
 - Flutter
 - heart
 - atrial or auricular
 
Convert I48.92 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Atrial flutter
ICD-9-CM: 427.32
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Patient Education
Arrhythmia
What is an arrhythmia?
An arrhythmia is a problem with the rate or rhythm of your heartbeat. Your heart beats too quickly, too slowly, or with an irregular pattern. Changes in the electrical signals that control your heartbeat cause arrhythmias.
- When your heart beats faster than normal, it's called tachycardia.
 - When your heart beats too slowly, it's called bradycardia.
 - When the signal to beat comes too early, it's called a premature or extra heartbeat. It may feel like your heart skipped a beat.
 
There are many types of arrhythmias. Arrhythmias may affect the upper or lower chamber of your heart. The most common type of arrhythmia is atrial fibrillation, which causes an irregular and fast heartbeat.
Some arrhythmias are harmless, such as when your heart rate speeds up during exercise and slows down when you sleep. But if you have a frequent irregular rhythm, it may mean your heart isn't pumping enough blood into your body. Getting treatment and following a heart-healthy lifestyle can help control arrhythmias. It may also help prevent heart damage that can trigger some heart arrhythmias.
What causes an arrhythmia?
Many factors can affect your heart's rhythm, such as having had a heart attack, smoking, congenital heart defects, and stress. Other factors that could increase your risk for some types of arrhythmias could include if you:
- Have a family history of arrhythmias.
 - Have certain health conditions, which can include heart and blood vessel diseases, lung diseases, kidney diseases, obesity, and sleep apnea.
 - Are an older adult.
 - Have had recent surgery for your heart, lungs, or throat.
 - Take certain medicines for other health conditions.
 - Use illegal drugs.
 
If you have risk factors, some situations that make your heart work harder, raise your blood pressure, or cause strong emotional stress may trigger an arrhythmia.
What are the symptoms of an arrhythmia?
You may not have any noticeable symptoms of an arrhythmia. Your provider may find an arrhythmia during your routine checkup. Symptoms of an arrhythmia can include:
- Fast or slow heartbeat
 - Skipping, fluttering, or pounding heartbeats
 - Chest pain or discomfort
 - Dizziness or fainting
 - Shortness of breath
 - Sweating
 - Tiredness or weakness
 
Seek emergency medical care if you have chest pain, shortness of breath, or think you are having a heart attack.
How is an arrhythmia diagnosed?
To find out if you have an arrhythmia, your health care provider may order an electrocardiogram (EKG). This test records your heart's electrical activity and is the most common for finding an arrhythmia. Your provider may also:
- Ask about your medical history, including your symptoms and lifestyle habits.
 - Do a physical exam, which includes checking your heartbeat and pulse.
 - Order blood tests and other heart tests.
 - Check your legs or feet for swelling.
 - Look for signs of other health conditions that could cause an arrythmia, such as thyroid disease.
 
What are the treatments for an arrhythmia?
Treatment may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery. Your provider may also recommend avoiding activities that may trigger your arrhythmia.
The goal of treatment is to restore a normal heart rhythm. If not treated, arrhythmias can damage your heart, brain, and other organs and could be life-threatening.
Can arrhythmias be prevented?
To help prevent an arrhythmia, your provider may suggest that you make heart-healthy lifestyle changes and treat health conditions that may cause arrhythmias.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Code History
- FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
 - FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
 - FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
 - FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
 - FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
 - FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
 - FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
 - FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
 - FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
 - FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
 - FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
 
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
 - The condition places limitations on self-care, independent living, and social interactions.
 
