ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesAtrial Flutter With Rapid Ventricular Response

Atrial Flutter With Rapid Ventricular Response

ICD-10 Coding for Atrial Flutter with Rapid Ventricular Response(I48.3, I48.4)

PRIMARY SPECIALTYCardiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Atrial Flutter With Rapid Ventricular Response?
Essential facts and insights about Atrial Flutter with Rapid Ventricular Response

Key Clinical Considerations:

  • Palpitations, dizziness, shortness of breath
  • Electrocardiogram (ECG) showing atrial flutter with rapid ventricular response, echocardiogram
  • Irregular pulse, tachycardia on examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of atrial flutter, symptoms duration, and frequency
  • ICD-10-CM coding terminology for atrial flutter with rapid ventricular response
  • Example: 'Patient presents with recurrent episodes of atrial flutter with a ventricular rate exceeding 100 bpm.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use I48.2 for atrial flutter with rapid ventricular response; differentiate from other arrhythmias.
  • Common errors: Confusing atrial flutter with atrial fibrillation; incorrect coding of ventricular response rates.

Code Exclusions

Important Exclusions

  • Excludes: Atrial fibrillation (I48.0), other specified atrial arrhythmias
  • Alternative codes: I48.1 for atrial flutter without rapid ventricular response

Related ICD-10 Codes

Primary Codes
I48.2
Atrial flutter with rapid ventricular response
Ancillary Codes
Z86.79
Differential Codes
I48.0
I48.3

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Cardiology

Specialty Applications

  • Patients with a history of heart disease, older adults, individuals with hypertension
  • Cardiology clinics, emergency departments, inpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the patient's symptoms, duration, and any previous treatments.

Billing considerations?

Ensure accurate coding to reflect the complexity of the condition for appropriate reimbursement.