ICD code I44.4 is used to identify left anterior fascicular block, a type of heart conduction abnormality affecting the electrical pathway.
ICD code I44.4 is a diagnosis for left anterior fascicular block, which is a type of heart conduction abnormality where electrical signals are delayed or blocked in the left anterior fascicle of the heart's conduction system.
1. Evidence of left axis deviation on electrocardiogram (ECG), typically between -45° and -90°
2. QRS duration less than 120 milliseconds (unless associated with other conduction abnormalities)
3. rS pattern in leads II, III, and aVF
4. qR pattern in leads I and aVL
5. Absence of other causes of left axis deviation, such as left ventricular hypertrophy or inferior myocardial infarction
6. Patient may be asymptomatic or present with symptoms such as palpitations, dizziness, or syncope
Relevant CPT codes that may be used to treat ICD code I44.4 include:
93000 – Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93010 – Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93005 – Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report
93224 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation
93225 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)
93226 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report
93227 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; physician review and interpretation
93040 – Rhythm ECG, one to three leads; with interpretation and report
93041 – Rhythm ECG, one to three leads; tracing only, without interpretation and report
93042 – Rhythm ECG, one to three leads; interpretation and report only
93268 – External patient and physician-activated electrocardiographic rhythm derived event recording with memory loop, 30 days, including recording, transmission, scanning analysis, physician review and interpretation
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