Chronic atrial fibrillation
ICD-10 I48.2 is a used to indicate a diagnosis of chronic atrial fibrillation.
Chronic atrial fibrillation (AF) is a common cardiac arrhythmia characterized by irregular and often rapid heart rate, leading to poor blood flow. It occurs when the heart's two upper chambers (the atria) experience chaotic electrical signals, causing them to quiver instead of contracting effectively. This condition can lead to various complications, including stroke, heart failure, and other heart-related issues. The anatomy involved primarily includes the atria, the sinoatrial node, and the conduction pathways of the heart. Disease progression may vary; some patients may remain asymptomatic for years, while others may experience significant symptoms such as palpitations, fatigue, and dyspnea. Diagnostic considerations include an electrocardiogram (ECG) to confirm the presence of AF, along with echocardiography to assess cardiac function and structure. Chronic AF can be classified into paroxysmal, persistent, and permanent forms, with I48.2 specifically denoting the chronic form, which is often more challenging to manage and requires ongoing treatment strategies.
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
I48.2 specifically covers chronic atrial fibrillation, which is defined by the presence of AF lasting longer than seven days or requiring intervention to restore normal rhythm. It may also include patients with permanent AF who are not candidates for rhythm control.
I48.2 should be used when the patient has chronic atrial fibrillation that is persistent or permanent. It is important to differentiate it from paroxysmal AF (I48.0) which is intermittent and resolves spontaneously.
Documentation should include the patient's history of AF, results from ECGs confirming the diagnosis, treatment plans, and any complications or comorbidities associated with chronic AF.
