ICD Code I47.29

ICD code I47.29 is used to classify and document cases of ventricular tachycardia that do not fall under more specific categories. Ventricular tachycardia is a type of fast heart rhythm that originates from the lower chambers of the heart, known as the ventricles. This code is utilized in medical records and billing to indicate that the patient is experiencing a form of ventricular tachycardia that is not specified elsewhere, allowing healthcare providers to accurately capture and communicate the patient's condition for treatment and reimbursement purposes.

1. Presence of Rapid Heartbeat: The patient exhibits a consistently rapid heartbeat, typically exceeding 100 beats per minute, originating from the ventricles.

2. Electrocardiogram (ECG) Findings: The ECG shows wide QRS complexes, indicating abnormal electrical activity in the ventricles.

3. Palpitations: The patient reports experiencing palpitations, which are sensations of a racing or pounding heart.

4. Dizziness or Lightheadedness: The patient experiences episodes of dizziness or lightheadedness, which may be due to decreased cardiac output.

5. Syncope or Near-Syncope: The patient has episodes of fainting or near-fainting, often related to inadequate blood flow to the brain.

6. Chest Pain or Discomfort: The patient reports chest pain or discomfort, which may be indicative of cardiac distress.

7. Shortness of Breath: The patient experiences difficulty breathing or shortness of breath, particularly during episodes of rapid heartbeat.

8. History of Heart Disease: The patient has a known history of heart disease, such as previous myocardial infarction or cardiomyopathy, which may predispose them to ventricular tachycardia.

9. Family History: There is a family history of sudden cardiac death or arrhythmias, suggesting a potential genetic predisposition.

10. Response to Antiarrhythmic Medication: The patient's symptoms improve with the administration of antiarrhythmic medication, supporting the diagnosis of ventricular tachycardia.

11. Exclusion of Other Causes: Other potential causes of the symptoms, such as supraventricular tachycardia or atrial fibrillation, have been ruled out through diagnostic testing.

For the ICD code I47.29 (Other ventricular tachycardia), the relevant CPT codes that may be applicable for treatment and management include:

1. 93653 - Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with ablation of arrhythmogenic focus.

2. 93654 - Electrophysiologic evaluation with ablation of arrhythmogenic focus for treatment of ventricular tachycardia.

3. 93656 - Comprehensive electrophysiologic evaluation including transseptal catheterization, insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with ablation of arrhythmogenic focus for treatment of atrial fibrillation.

4. 33249 - Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber.

5. 33225 - Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (including upgrade to dual chamber system).

6. 33230 - Insertion of implantable defibrillator pulse generator only; with existing dual leads.

7. 33231 - Insertion of implantable defibrillator pulse generator only; with existing multiple leads.

These CPT codes are typically used in the context of procedures and treatments related to ventricular tachycardia, and healthcare providers should ensure accurate coding based on the specific services rendered. Always consult the latest CPT coding guidelines and payer policies for the most accurate and up-to-date information.

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