ICD Code I44.7

ICD code I44.7 is a medical classification used to denote a left bundle-branch block (LBBB) that is unspecified. This condition refers to a delay or obstruction along the pathway that electrical impulses travel to make the heart beat, specifically affecting the left bundle branch of the heart's conduction system. The "unspecified" designation indicates that the documentation does not provide additional details about the specific type or cause of the block.

1. Presence of Conduction Abnormalities: The patient exhibits signs of conduction abnormalities in the heart, specifically affecting the left bundle branch.

2. Electrocardiogram (ECG) Findings: An ECG shows a widened QRS complex, typically greater than 120 milliseconds, indicating a delay in the electrical conduction through the left bundle branch.

3. Absence of Specific Etiology: The left bundle-branch block is not attributed to a specific underlying condition or cause, such as myocardial infarction or cardiomyopathy, making it unspecified.

4. Symptoms of Cardiac Dysfunction: The patient may present with symptoms such as dizziness, syncope, or palpitations, which could be associated with the conduction delay.

5. Exclusion of Other Cardiac Conditions: Other potential cardiac conditions that could cause similar symptoms have been ruled out through diagnostic testing and clinical evaluation.

6. Clinical Correlation: The diagnosis is supported by clinical correlation with the patient's history, physical examination, and other diagnostic tests, confirming the presence of a left bundle-branch block without a specified cause.

For the ICD code I44.7 (Left bundle-branch block, unspecified), the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

2. 93010 - Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

3. 93015 - Cardiovascular stress test using treadmill, bicycle exercise and/or pharmacological stress; with continuous electrocardiographic monitoring and/or pharmacological stress, with physician supervision, with interpretation and report.

4. 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation.

5. 93268 - External patient and, when performed, auto-activated electrocardiographic rhythm derived event recording with presymptom memory loop, 24-hour attended monitoring, per 30-day period of time; includes transmission, physician review and interpretation.

These CPT codes are commonly used in the evaluation and management of conditions related to the heart's electrical activity, such as a left bundle-branch block. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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