ICD Code I48.11

ICD code I48.11 is longstanding persistent atrial fibrillation, a type of irregular heart rhythm that has lasted for more than 12 months.

1. Patient has a documented history of atrial fibrillation lasting more than 12 months

2. Rhythm disturbance is continuous and has not spontaneously terminated

3. Attempts at rhythm control (such as cardioversion or antiarrhythmic therapy) have failed or are not being pursued

4. Symptoms may include palpitations, fatigue, dyspnea, or may be asymptomatic

5. Diagnosis confirmed by ECG or other cardiac monitoring showing persistent atrial fibrillation

Relevant CPT codes that may be used to treat ICD code I48.11 include:

- 93656: Comprehensive electrophysiologic evaluation including transseptal catheterization and ablation of atrial fibrillation

- 93657: Additional ablation for atrial fibrillation (when performed in conjunction with 93656)

- 33208: Insertion of new or replacement of permanent pacemaker with transvenous electrodes; atrial and ventricular

- 33249: Insertion or replacement of implantable cardioverter-defibrillator system with transvenous lead(s)

- 92960: Cardioversion, elective, electrical conversion of arrhythmia

- 93462: Left heart catheterization by transseptal puncture through intact septum or by transapical puncture

These codes should be selected based on the specific treatment rendered for I48.11.

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