2026 ICD-10-CM Diagnosis Code R00.2

Palpitations

ICD-10-CM Code:
R00.2
ICD-10 Code for:
Palpitations
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

R00.2 is a billable diagnosis code used to specify a medical diagnosis of palpitations. 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 abnormalities of heart rhythm.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    R00–R99
    • Symptoms and signs involving the circulatory and respiratory systems
      R00-R09
      • Abnormalities of heart beat
        R00

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.

  • Awareness of heart beat
  • Finding related to awareness of heart beat
  • Finding related to awareness of heart beat
  • Finding related to awareness of heart beat
  • Finding related to awareness of heart beat
  • Finding related to awareness of heart beat
  • Finding related to awareness of heart beat
  • Fluttering heart
  • Intermittent palpitations
  • Palpitations
  • Palpitations - rapid
  • Palpitations with regular rhythm
  • Pounding heart

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.

Circulatory signs and symptoms

CCSR Code: SYM012

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.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion 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.
  • Awareness of heart beat

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).

Index of External Cause of Injuries

References found for this diagnosis code in the External Cause of Injuries Index:

    • Abnormal, abnormality, abnormalities
      • pulsations in neck
    • Awareness of heart beat
    • Heart beat
      • awareness
    • Palpitations(heart)

Convert R00.2 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.

Palpitations

ICD-9-CM: 785.1

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

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] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.