Longstanding persistent atrial fibrillation
ICD-10 I48.11 is a billable code used to indicate a diagnosis of longstanding persistent atrial fibrillation.
Longstanding persistent atrial fibrillation (AF) is characterized by a continuous form of AF that lasts for more than 12 months. Clinically, patients may present with symptoms such as palpitations, fatigue, dyspnea, and an increased risk of thromboembolic events, particularly stroke. The anatomy involved includes the atria of the heart, where irregular electrical signals disrupt normal rhythm. Over time, persistent AF can lead to structural changes in the heart, including atrial dilation and fibrosis, which may exacerbate the condition and complicate management. Diagnostic considerations include a thorough patient history, physical examination, and electrocardiogram (ECG) findings that confirm the presence of AF. Additional tests may include echocardiography to assess cardiac function and structure, as well as blood tests to evaluate for underlying conditions such as hyperthyroidism or electrolyte imbalances. The management of longstanding persistent AF often requires a multidisciplinary approach, including rate or rhythm control strategies and anticoagulation therapy to mitigate stroke risk.
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
I48.11 specifically covers longstanding persistent atrial fibrillation, which is defined as AF that has been present continuously for more than 12 months. It is important to differentiate this from other forms of AF, such as paroxysmal or persistent AF, which have different durations and management strategies.
I48.11 should be used when the patient has a documented history of atrial fibrillation that has persisted for more than 12 months. If the AF is intermittent or has not been present for this duration, other codes such as I48.0 or I48.2 should be considered.
Documentation supporting I48.11 should include a clear history of the patient's atrial fibrillation, evidence of its persistence for over 12 months, results from ECGs confirming the diagnosis, and any relevant clinical notes detailing symptoms and treatment plans.
