Atrioventricular block, second degree
ICD-10 I44.1 is a billable code used to indicate a diagnosis of atrioventricular block, second degree.
Atrioventricular block, second degree, is characterized by a partial interruption of electrical conduction between the atria and ventricles of the heart. This condition can manifest as either Mobitz type I (Wenckebach) or Mobitz type II. In Mobitz type I, there is a progressive lengthening of the PR interval until a beat is dropped, while Mobitz type II involves intermittent dropped beats without prior lengthening of the PR interval. Clinically, patients may present with palpitations, dizziness, or syncope, particularly during exertion. The anatomy involved includes the atrioventricular node, which is crucial for coordinating the heart's electrical signals. Disease progression can vary; Mobitz type I is often benign and may resolve spontaneously, whereas Mobitz type II can progress to complete heart block and may require intervention. Diagnostic considerations include electrocardiogram (ECG) findings, patient history, and potential underlying conditions such as ischemic heart disease or cardiomyopathy. Regular monitoring and assessment of symptoms are essential for managing this condition effectively.
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
I44.1 covers second-degree atrioventricular block, specifically Mobitz type I and type II. It is essential to differentiate between these types based on ECG findings and clinical presentation.
I44.1 should be used when there is a confirmed diagnosis of second-degree AV block. It is important to differentiate it from first-degree AV block (I44.0) and complete heart block (I44.2) based on the severity and clinical implications.
Documentation should include ECG results showing the characteristics of the second-degree AV block, patient symptoms, and any relevant medical history that may contribute to the condition.
