ICD Code I45.19

ICD code I45.19 is used to indicate other types of right bundle-branch block, which are abnormalities in the electrical conduction system of the heart affecting the right bundle branch, but not classified under more specific codes.

1. Evidence of right bundle branch block (RBBB) pattern on electrocardiogram (ECG) that does not meet criteria for typical RBBB

2. QRS duration greater than 120 milliseconds

3. Presence of rsr’, rsR’, or rSR’ patterns in leads V1 or V2

4. Wide, slurred S waves in leads I and V6

5. Absence of left bundle branch block or other specified conduction abnormalities

6. Patient may be asymptomatic or present with symptoms such as palpitations, syncope, or dizziness

7. Exclusion of other causes of intraventricular conduction delay

Relevant CPT codes that may be used to treat ICD code I45.19 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

93600 – Bundle of His recording

93620 – Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia

These CPT codes are commonly associated with the evaluation and management of conditions identified by ICD code I45.19.

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