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ICD-10 Guide
ICD-10 CodesI47.2

I47.2

Non-billable

Ventricular tachycardia

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

Code Description

ICD-10 I47.2 is a used to indicate a diagnosis of ventricular tachycardia.

Key Diagnostic Point:

Ventricular tachycardia (VT) is a rapid heart rhythm originating from the ventricles, characterized by a heart rate exceeding 100 beats per minute. Clinically, patients may present with palpitations, dizziness, syncope, or chest pain, and in severe cases, it can lead to hemodynamic instability or sudden cardiac arrest. The anatomy involved includes the ventricular myocardium, where abnormal electrical impulses disrupt normal conduction pathways. Disease progression can vary; some patients may experience infrequent episodes, while others may have persistent VT, often associated with underlying heart conditions such as ischemic heart disease, cardiomyopathy, or electrolyte imbalances. Diagnostic considerations include electrocardiogram (ECG) findings, which reveal a wide QRS complex tachycardia, and may necessitate further evaluation through echocardiography or electrophysiological studies to determine the underlying cause and appropriate management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation to differentiate from other tachyarrhythmias.
  • Treatment complexity: Management may involve medications, catheter ablation, or implantable devices.
  • Documentation requirements: Detailed clinical notes and ECG interpretations are essential.
  • Coding specificity: Accurate coding requires understanding of the type and duration of VT.

Audit Risk Factors

  • Common coding errors: Misclassification of VT as SVT or other arrhythmias.
  • Documentation gaps: Incomplete clinical history or lack of ECG evidence.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

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

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

Related ICD-10 Codes

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CPT Code

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Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Ventricular tachycardia has significant clinical implications, as it can lead to serious outcomes such as sudden cardiac death. Its prevalence in patients with underlying heart disease highlights the importance of early detection and management. Quality measures focus on timely intervention and appropriate follow-up care, which can improve patient outcomes and reduce healthcare utilization. Epidemiologically, VT is a critical factor in assessing the burden of cardiovascular diseases in populations, particularly among those with risk factors such as hypertension and diabetes.

ICD-9 vs ICD-10

Ventricular tachycardia has significant clinical implications, as it can lead to serious outcomes such as sudden cardiac death. Its prevalence in patients with underlying heart disease highlights the importance of early detection and management. Quality measures focus on timely intervention and appropriate follow-up care, which can improve patient outcomes and reduce healthcare utilization. Epidemiologically, VT is a critical factor in assessing the burden of cardiovascular diseases in populations, particularly among those with risk factors such as hypertension and diabetes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case, the need for potential hospitalization, and the use of advanced therapies such as catheter ablation. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical notes are thorough and that any diagnostic tests performed are clearly linked to the diagnosis of I47.2.

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 I47.2?

I47.2 specifically covers ventricular tachycardia, which can be further classified into monomorphic and polymorphic types. It does not include other arrhythmias such as atrial fibrillation or supraventricular tachycardia.

When should I47.2 be used instead of related codes?

I47.2 should be used when the patient is diagnosed with ventricular tachycardia based on ECG findings and clinical presentation. It is important to differentiate it from other tachyarrhythmias to ensure accurate coding.

What documentation supports I47.2?

Documentation should include the patient's clinical presentation, results of ECG showing VT, any underlying heart conditions, and treatment plans. Detailed notes on the patient's history and response to treatment are also necessary.