Chronic atrial fibrillation, unspecified
ICD-10 I48.20 is a billable code used to indicate a diagnosis of chronic atrial fibrillation, unspecified.
Chronic atrial fibrillation (AF) is a common cardiac arrhythmia characterized by disorganized electrical activity in the atria, leading to ineffective atrial contraction and an irregularly irregular ventricular response. The condition can result in symptoms such as palpitations, fatigue, and dyspnea, and may lead to serious complications like stroke and heart failure. The anatomy involved includes the atria of the heart, which are responsible for receiving blood from the body and lungs. Over time, chronic AF can lead to structural changes in the heart, including atrial dilation and fibrosis, which can further perpetuate the arrhythmia. Diagnosis typically involves an electrocardiogram (ECG) to confirm the presence of AF and may include echocardiography to assess cardiac function and structure. Management strategies often include anticoagulation to reduce stroke risk, rate or rhythm control medications, and lifestyle modifications. Understanding the progression of chronic AF is crucial for effective management and prevention of complications.
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
I48.20 covers chronic atrial fibrillation that is not specified as persistent or paroxysmal. It includes patients with a history of AF who experience ongoing symptoms or complications without a clear classification.
I48.20 should be used when the patient's atrial fibrillation is chronic and unspecified, particularly when there is no documentation to support a more specific classification such as persistent or paroxysmal AF.
Documentation should include the patient's history of atrial fibrillation, symptoms experienced, results from ECG or Holter monitoring, and any treatment plans or interventions undertaken.
