ICD Code I49.5

ICD code I49.5 is a classification used to identify and document the diagnosis of sick sinus syndrome, a condition where the heart's natural pacemaker, the sinus node, does not function properly, leading to irregular heart rhythms.

1. Bradycardia: Persistent or episodic slow heart rate that is lower than the normal range for the patient's age and activity level.

2. Tachycardia-Bradycardia Syndrome: Episodes of alternating fast and slow heart rates, often accompanied by palpitations or dizziness.

3. Sinus Arrest: A pause in the heart's sinus rhythm, leading to a temporary cessation of heartbeats.

4. Sinoatrial Block: A delay or blockage in the electrical impulses from the sinoatrial node, causing irregular heartbeats.

5. Fatigue: Persistent tiredness or exhaustion that is not relieved by rest, often due to inadequate cardiac output.

6. Dizziness or Lightheadedness: Sensations of spinning or feeling faint, often resulting from insufficient blood flow to the brain.

7. Syncope: Episodes of fainting or temporary loss of consciousness due to reduced blood flow to the brain.

8. Palpitations: Noticeable rapid, strong, or irregular heartbeats that can be felt by the patient.

9. Chest Pain or Discomfort: Unexplained pain or pressure in the chest area, potentially related to irregular heart rhythms.

10. Shortness of Breath: Difficulty breathing or feeling breathless, especially during physical activity, due to compromised cardiac function.

For the ICD code I49.5, which is associated with sick sinus syndrome, the relevant CPT codes that may be applicable for treatment include:

1. 33206 - Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial.

2. 33207 - Insertion or replacement of permanent pacemaker with transvenous electrode(s); ventricular.

3. 33208 - Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular.

4. 33210 - Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure).

5. 33212 - Insertion or replacement of pacemaker pulse generator only; single chamber, atrial or ventricular.

6. 33213 - Insertion or replacement of pacemaker pulse generator only; dual chamber.

7. 33214 - Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead(s), insertion of new pulse generator).

These CPT codes are typically used for procedures related to the management and treatment of conditions associated with sick sinus syndrome. It is important for healthcare providers to verify the most current coding guidelines and ensure accurate coding based on the specific procedures performed.

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