Pre-excitation syndrome
ICD-10 I45.6 is a billable code used to indicate a diagnosis of pre-excitation syndrome.
Pre-excitation syndrome, commonly associated with conditions such as Wolff-Parkinson-White (WPW) syndrome, is characterized by the presence of an accessory conduction pathway that allows electrical impulses to bypass the normal route through the atrioventricular (AV) node. This results in a premature activation of the ventricles, leading to episodes of tachycardia. Clinically, patients may present with palpitations, dizziness, syncope, or even sudden cardiac arrest in severe cases. The anatomy involved primarily includes the heart's conduction system, particularly the atria, ventricles, and the accessory pathways. Disease progression can vary; some individuals may remain asymptomatic, while others may experience recurrent arrhythmias that necessitate intervention. Diagnostic considerations include electrocardiograms (ECGs) that reveal characteristic findings such as a shortened PR interval and a delta wave. Electrophysiological studies may also be employed to confirm the diagnosis and assess the risk of arrhythmias. Understanding the clinical presentation and potential complications is essential for effective management and treatment planning.
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
I45.6 specifically covers pre-excitation syndromes, including Wolff-Parkinson-White syndrome and Lown-Ganong-Levine syndrome, which are characterized by abnormal conduction pathways leading to tachyarrhythmias.
I45.6 should be used when a patient presents with symptoms and diagnostic findings indicative of pre-excitation syndromes, particularly when accessory pathways are confirmed through ECG or electrophysiological studies, differentiating it from other conduction disorders.
Documentation should include detailed clinical notes on patient symptoms, ECG findings, results from electrophysiological studies, and any previous treatment interventions. Clear evidence of the pre-excitation syndrome diagnosis is essential for proper coding.
