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ICD-10 Guide
ICD-10 CodesI46.9

I46.9

Billable

Cardiac arrest, cause unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I46.9 is a billable code used to indicate a diagnosis of cardiac arrest, cause unspecified.

Key Diagnostic Point:

Cardiac arrest, cause unspecified, refers to a sudden cessation of effective cardiac function, leading to the absence of blood circulation and subsequent loss of consciousness and respiration. This condition can arise from various underlying cardiovascular diseases, including coronary artery disease, arrhythmias, heart failure, or structural heart abnormalities. The anatomy involved primarily includes the heart, particularly the myocardium and electrical conduction system. Disease progression can be rapid, with potential for irreversible brain damage or death if not promptly addressed. Diagnostic considerations include the assessment of the patient's history, physical examination, and immediate interventions such as cardiopulmonary resuscitation (CPR) and defibrillation. Advanced diagnostics, including electrocardiograms (ECGs) and echocardiograms, may be necessary to identify potential underlying causes, although I46.9 is used when the cause remains unspecified. Understanding the context of the cardiac arrest is crucial for appropriate management and further treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cardiac arrest has significant clinical implications, contributing to high morbidity and mortality rates in the population. Understanding the epidemiology of cardiac arrest can inform public health initiatives aimed at improving survival rates through better emergency response and preventive measures. Quality measures related to cardiac arrest management, such as timely CPR and defibrillation, are critical for enhancing healthcare outcomes and reducing healthcare utilization associated with post-arrest complications.

ICD-9 vs ICD-10

Cardiac arrest has significant clinical implications, contributing to high morbidity and mortality rates in the population. Understanding the epidemiology of cardiac arrest can inform public health initiatives aimed at improving survival rates through better emergency response and preventive measures. Quality measures related to cardiac arrest management, such as timely CPR and defibrillation, are critical for enhancing healthcare outcomes and reducing healthcare utilization associated with post-arrest complications.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I46.9?

I46.9 encompasses cases of cardiac arrest where the underlying cause is not specified. This may include instances where the patient has a history of cardiovascular disease but lacks a definitive diagnosis at the time of the event.

When should I46.9 be used instead of related codes?

I46.9 should be used when the cause of cardiac arrest is unknown or not documented. If a specific cause is identified, such as I46.0 for cardiac arrest due to coronary artery disease, the more specific code should be utilized.

What documentation supports I46.9?

Documentation should include a detailed account of the patient's clinical presentation, any resuscitation efforts undertaken, and the absence of a determined cause for the cardiac arrest. Emergency department records and physician notes are critical.