Other premature depolarization
ICD-10 I49.49 is a billable code used to indicate a diagnosis of other premature depolarization.
I49.49 refers to 'Other premature depolarization', a condition characterized by abnormal electrical impulses in the heart that lead to premature contractions. These can occur in the atria (premature atrial contractions) or ventricles (premature ventricular contractions). The clinical presentation may include palpitations, dizziness, or even syncope, although many patients remain asymptomatic. The heart's anatomy involved includes the sinoatrial node, atrioventricular node, and the conduction pathways that facilitate normal heart rhythm. Disease progression can vary; while occasional premature depolarizations may be benign, frequent occurrences can lead to more serious arrhythmias or exacerbate underlying heart conditions such as cardiomyopathy or ischemic heart disease. Diagnostic considerations include electrocardiograms (ECGs) to identify the nature and frequency of the premature beats, along with a thorough patient history and physical examination to rule out underlying cardiovascular diseases. Holter monitoring may also be employed for more extended observation of the heart's electrical activity.
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
I49.49 covers various forms of premature depolarization not classified elsewhere, including atypical premature atrial and ventricular contractions that do not fit the criteria for more specific codes.
I49.49 should be used when the premature depolarization does not fit the definitions of I49.41 or I49.42, particularly when the type of premature contraction is unclear or atypical.
Documentation should include a detailed ECG report showing the premature depolarizations, patient symptoms, and any relevant history of heart disease or arrhythmias.
