Ventricular flutter
ICD-10 I49.02 is a billable code used to indicate a diagnosis of ventricular flutter.
Ventricular flutter is a rapid, life-threatening arrhythmia characterized by a disorganized electrical activity in the ventricles, leading to ineffective contractions and a significant drop in cardiac output. Clinically, patients may present with symptoms such as palpitations, dizziness, syncope, or even sudden cardiac arrest. The condition primarily affects the heart's ventricles, which are responsible for pumping blood to the lungs and the rest of the body. The progression of ventricular flutter can lead to ventricular fibrillation, a more chaotic rhythm that can result in death if not treated promptly. Diagnostic considerations include electrocardiogram (ECG) findings, which typically show a characteristic sawtooth pattern of QRS complexes. Immediate treatment often involves cardioversion or antiarrhythmic medications, and long-term management may include implantable cardioverter-defibrillators (ICDs) or catheter ablation. Understanding the underlying causes, such as ischemic heart disease or electrolyte imbalances, is crucial for effective management.
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
I49.02 specifically covers ventricular flutter, which is a distinct arrhythmia characterized by rapid ventricular contractions. It is important to differentiate it from other arrhythmias such as ventricular fibrillation (I49.01) and other unspecified arrhythmias (I49.9).
I49.02 should be used when the clinical presentation and diagnostic findings specifically indicate ventricular flutter. If the patient presents with ventricular fibrillation or other arrhythmias, the corresponding codes should be utilized.
Documentation should include the patient's clinical presentation, ECG findings showing the characteristic patterns of ventricular flutter, and any treatments administered. Clear notes on the patient's history and any underlying conditions contributing to the arrhythmia are also essential.
