ICD Code I45.2

ICD code I45.2 is bifascicular block, which refers to a conduction abnormality in the heart where two of the three main electrical pathways (fascicles) in the ventricles are blocked, potentially affecting the heart's rhythm and function.

1. Presence of right bundle branch block (RBBB) on electrocardiogram (ECG)

2. Evidence of left anterior fascicular block (LAFB) or left posterior fascicular block (LPFB) on ECG

3. Absence of complete atrioventricular (AV) block

4. Patient may be asymptomatic or present with symptoms such as syncope, presyncope, or palpitations

5. No evidence of other causes for intraventricular conduction delay

Relevant CPT codes that may be used to treat ICD code I45.2 include:

- 93000 (Electrocardiogram, routine ECG with at least 12 leads; with 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)

- 93268 (External patient and physician-activated electrocardiographic rhythm derived event recording with symptom related memory loop, 30 days recording, including recording, scanning analysis with report, physician review and interpretation)

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

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

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

These CPT codes are commonly associated with the evaluation and management of I45.2.

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