Other specified heart block
ICD-10 I45.5 is a billable code used to indicate a diagnosis of other specified heart block.
I45.5 refers to 'Other specified heart block,' which encompasses various types of heart block that do not fall under the more commonly classified categories such as complete heart block (I44.2) or first-degree heart block (I44.1). Heart block occurs when the electrical signals that control the heartbeat are disrupted, leading to a slower or irregular heartbeat. The condition can affect different parts of the heart's conduction system, including the atrioventricular (AV) node or bundle branches. Clinical presentations may vary from asymptomatic to symptoms such as fatigue, dizziness, syncope, or even heart failure in severe cases. The progression of heart block can be influenced by underlying cardiovascular diseases, such as ischemic heart disease, cardiomyopathy, or congenital heart defects. Diagnostic considerations include electrocardiograms (ECGs) to identify the type and severity of the block, along with patient history and physical examination. Treatment may involve monitoring, medication adjustments, or the implantation of a pacemaker, depending on the severity and symptoms associated with the heart block.
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
I45.5 covers various types of heart block not classified elsewhere, including but not limited to second-degree heart block (Mobitz type I and II) and other conduction disturbances that do not fit into the standard categories.
I45.5 should be used when the heart block is specified as 'other' and does not meet the criteria for complete or first-degree heart block. It is essential to differentiate based on the patient's specific clinical presentation and ECG findings.
Documentation should include detailed ECG results, clinical symptoms, patient history, and any relevant diagnostic tests that support the diagnosis of other specified heart block.
