Ventricular premature depolarization
ICD-10 I49.3 is a billable code used to indicate a diagnosis of ventricular premature depolarization.
Ventricular premature depolarization (VPD), also known as premature ventricular contractions (PVCs), is a common cardiac arrhythmia characterized by an early heartbeat originating from the ventricles. Clinically, patients may experience palpitations, a sensation of skipped beats, or may be asymptomatic. The anatomy involved includes the heart's ventricles, which are responsible for pumping blood to the lungs and the rest of the body. VPD can occur in healthy individuals or in those with underlying heart conditions such as ischemic heart disease, cardiomyopathy, or electrolyte imbalances. Disease progression may vary; while occasional PVCs are often benign, frequent or symptomatic PVCs can lead to more serious arrhythmias or heart failure. Diagnostic considerations include a thorough patient history, physical examination, and electrocardiogram (ECG) to confirm the presence of VPDs. Holter monitoring may be utilized for further assessment in symptomatic patients. Understanding the frequency and pattern of these contractions is crucial for determining the appropriate management strategy.
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
I49.3 specifically covers ventricular premature depolarizations, which can occur in isolation or in conjunction with other cardiac conditions. It does not include other types of arrhythmias such as atrial fibrillation or ventricular tachycardia.
I49.3 should be used when the primary diagnosis is specifically ventricular premature depolarization, particularly when the patient presents with symptoms or when the frequency of PVCs is clinically significant. It is important to differentiate from other arrhythmias based on ECG findings.
Documentation should include the patient's symptoms, results from ECG or Holter monitoring confirming the presence of VPDs, and any relevant medical history that may contribute to the arrhythmia.
