Unspecified right bundle-branch block
ICD-10 I45.10 is a billable code used to indicate a diagnosis of unspecified right bundle-branch block.
Unspecified right bundle-branch block (RBBB) is a cardiac conduction abnormality characterized by a delay or blockage in the electrical impulses traveling through the right bundle branch of the heart's conduction system. This condition can lead to a variety of clinical presentations, ranging from asymptomatic to symptoms of heart failure or arrhythmias. The right bundle branch is responsible for conducting electrical signals to the right ventricle, and when it is blocked, the right ventricle may not contract in synchrony with the left ventricle. This can result in a wide QRS complex on an electrocardiogram (ECG), which is a key diagnostic feature. The progression of RBBB can vary; it may be a transient condition or indicate underlying heart disease, such as ischemic heart disease, cardiomyopathy, or pulmonary hypertension. Diagnostic considerations include a thorough patient history, physical examination, and ECG analysis. Additional tests may be warranted to assess for underlying causes, especially in symptomatic patients.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I45.10 covers cases of right bundle-branch block that are not specified as complete or incomplete. It may be associated with various underlying conditions such as heart failure, ischemic heart disease, or pulmonary disorders, but the specific cause is not documented.
I45.10 should be used when a right bundle-branch block is identified but the specific type or underlying cause is not documented. If the block is complete or associated with a specific condition, more specific codes like I45.11 or I45.19 should be used.
Documentation should include an ECG report showing the right bundle-branch block, a detailed patient history, and any relevant clinical findings. It is important to note any symptoms experienced by the patient and any diagnostic tests performed to rule out underlying conditions.
