ICD Code I44.2

ICD code I44.2 is a medical classification used to denote a complete atrioventricular block, which is a condition where the electrical signals between the heart's atria and ventricles are completely interrupted, leading to a disruption in the heart's normal rhythm and potentially causing symptoms such as dizziness, fatigue, or fainting.

1. Presence of Bradycardia: The patient exhibits a significantly slow heart rate, typically below 60 beats per minute, which is not attributable to other causes such as medication or athletic conditioning.

2. Symptoms of Syncope or Near-Syncope: The patient experiences episodes of fainting or near-fainting, which may be due to inadequate cardiac output resulting from the block.

3. Dizziness or Lightheadedness: The patient reports frequent episodes of dizziness or feeling lightheaded, which may be associated with the heart's inability to maintain adequate blood flow.

4. Fatigue: The patient experiences unexplained fatigue, which could be due to reduced cardiac efficiency and subsequent decreased oxygen delivery to tissues.

5. Palpitations: The patient reports feeling irregular or skipped heartbeats, which may be a result of the heart's compensatory mechanisms in response to the block.

6. Electrocardiogram (ECG) Findings: The ECG shows evidence of a complete atrioventricular block, characterized by a lack of conduction between the atria and ventricles, resulting in independent atrial and ventricular rhythms.

7. History of Cardiac Conditions: The patient has a history of conditions that predispose them to atrioventricular block, such as ischemic heart disease, cardiomyopathy, or previous cardiac surgery.

8. Lack of Response to Initial Treatments: The patient does not respond to initial treatments aimed at addressing other potential causes of the symptoms, such as medication adjustments or lifestyle changes.

9. Confirmation through Advanced Diagnostic Testing: Further diagnostic testing, such as Holter monitoring or electrophysiological studies, confirms the presence of a complete atrioventricular block.

10. Exclusion of Other Causes: Other potential causes of the symptoms, such as electrolyte imbalances or thyroid dysfunction, have been ruled out through appropriate testing.

For the ICD code I44.2, which pertains to a complete atrioventricular block, the relevant CPT codes that may be applicable for treatment include:

1. 33206 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial.

2. 33207 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular.

3. 33208 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular.

4. 33210 - Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure).

5. 33212 - Insertion of pacemaker pulse generator only; with existing single lead.

6. 33213 - Insertion of pacemaker pulse generator only; with existing dual leads.

7. 33214 - Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of existing pulse generator, testing of existing lead(s), insertion of new pulse generator).

These CPT codes are typically associated with procedures that address the management and treatment of a complete atrioventricular block. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments for CPT codes associated with ICD code I44.2. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.