ICD Code I49-

ICD code I49- is used to identify cardiac arrhythmias, which are disorders of the heart’s rhythm.

1. Documented evidence of abnormal heart rhythm originating from the ventricles

2. Presence of palpitations, dizziness, syncope, or chest discomfort associated with irregular ventricular activity

3. Electrocardiogram (ECG) findings showing premature ventricular contractions, ventricular tachycardia, or other ventricular arrhythmias

4. Exclusion of supraventricular arrhythmias as the primary cause

5. Symptoms not attributable to reversible causes such as electrolyte imbalance, drug toxicity, or acute myocardial ischemia

6. Clinical evaluation confirming the arrhythmia is not secondary to a transient or correctable condition

Relevant CPT codes that may be used to treat ICD code I49- include:

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

- 93224-93227 (External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis, report)

- 93268 (External patient and physician-activated electrocardiographic rhythm derived event recording with memory loop, 30 days)

- 93600-93662 (Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters, mapping, and ablation procedures)

- 92960 (Cardioversion, elective, electrical conversion of arrhythmia; external)

- 33206-33208 (Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); single or dual chamber)

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

- 33210 (Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter)

- 93451-93464 (Cardiac catheterization and related diagnostic procedures)

These CPT codes are commonly associated with the management and treatment of conditions identified by ICD code I49-.

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