Nonspecific intraventricular block
ICD-10 I45.4 is a billable code used to indicate a diagnosis of nonspecific intraventricular block.
Nonspecific intraventricular block refers to a condition characterized by a delay or interruption in the conduction of electrical impulses through the ventricles of the heart. This condition can manifest as a variety of conduction abnormalities, which may not be attributed to a specific underlying cause. Clinically, patients may present with symptoms such as palpitations, syncope, or fatigue, although many may be asymptomatic. The anatomy involved includes the bundle branches of the heart, specifically the right and left bundle branches that facilitate coordinated ventricular contraction. Disease progression can vary; some patients may experience stable conduction abnormalities, while others may progress to more severe forms of heart block or develop associated cardiac conditions. Diagnostic considerations include electrocardiogram (ECG) findings that reveal a widened QRS complex, indicating delayed ventricular conduction. It is essential to differentiate nonspecific intraventricular block from other types of heart blocks, such as complete or incomplete bundle branch blocks, to guide appropriate management and treatment strategies.
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
I45.4 encompasses nonspecific intraventricular conduction delays that do not fit the criteria for specific bundle branch blocks. It may include various degrees of conduction disturbances that do not have a clear etiology.
I45.4 should be used when the intraventricular block is nonspecific and cannot be classified as left or right bundle branch block. It is important to document the absence of specific causes to justify this code.
Documentation should include an ECG report showing a widened QRS complex, clinical symptoms, and any relevant history that supports the diagnosis of nonspecific intraventricular block.
