Cardiac arrest due to underlying cardiac condition
ICD-10 I46.2 is a billable code used to indicate a diagnosis of cardiac arrest due to underlying cardiac condition.
Cardiac arrest due to underlying cardiac condition (I46.2) refers to a sudden cessation of cardiac function stemming from pre-existing heart diseases. Common underlying conditions include coronary artery disease, cardiomyopathy, arrhythmias, and valvular heart diseases. The clinical presentation may vary, but patients often exhibit symptoms such as chest pain, palpitations, shortness of breath, or syncope prior to the arrest. Anatomically, the heart's electrical conduction system may be compromised, leading to ineffective heartbeats and subsequent loss of circulation. Disease progression can be rapid; patients with chronic heart conditions may experience acute exacerbations that precipitate cardiac arrest. Diagnostic considerations include a thorough patient history, physical examination, electrocardiogram (ECG), echocardiography, and possibly cardiac catheterization to evaluate the underlying pathology. Early recognition and intervention are critical to improving outcomes in these 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
I46.2 encompasses cardiac arrest resulting from various underlying cardiac conditions, including but not limited to ischemic heart disease, heart failure, arrhythmias, and structural heart defects.
I46.2 should be used when the cardiac arrest is directly attributable to a known cardiac condition, as opposed to I46.0, which is used when the cause is unspecified.
Documentation should include a detailed account of the patient's medical history, evidence of the underlying cardiac condition, results from diagnostic tests (like ECG or echocardiogram), and a clear narrative linking the condition to the cardiac arrest.
