Paroxysmal tachycardia
ICD-10 I47 is a used to indicate a diagnosis of paroxysmal tachycardia.
Paroxysmal tachycardia refers to episodes of rapid heart rate that occur intermittently and can last from a few seconds to several hours. This condition is characterized by a heart rate exceeding 100 beats per minute, originating from the atria or ventricles. The anatomy involved includes the heart's electrical conduction system, particularly the atrioventricular node and the surrounding myocardial tissue. Paroxysmal tachycardia can be classified into several types, including atrial tachycardia, atrial flutter, and ventricular tachycardia, each with distinct clinical presentations. Patients may experience palpitations, dizziness, shortness of breath, or chest pain during episodes. The disease progression can vary; while some individuals may experience infrequent episodes, others may develop more frequent occurrences leading to significant cardiovascular complications. Diagnostic considerations include electrocardiograms (ECGs), Holter monitoring, and electrophysiological studies to confirm the diagnosis and determine the underlying cause. Identifying triggers such as stress, caffeine, or underlying heart disease is essential 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
I47 covers various forms of paroxysmal tachycardia, including atrial tachycardia, atrial flutter, and ventricular tachycardia. Each condition has specific diagnostic criteria based on ECG findings and clinical symptoms.
I47 should be used when the patient experiences episodes of rapid heart rate that are paroxysmal in nature, distinguishing it from chronic conditions like I48. Accurate documentation of the episode's nature and frequency is crucial for code selection.
Documentation should include the patient's clinical history, symptoms experienced during episodes, results from ECG or Holter monitoring, and any identified triggers. Clear documentation of the type of tachycardia is essential for accurate coding.
