Re-entry ventricular arrhythmia
ICD-10 I47.0 is a billable code used to indicate a diagnosis of re-entry ventricular arrhythmia.
Re-entry ventricular arrhythmia, also known as ventricular tachycardia, is characterized by a rapid heart rhythm originating from the ventricles. Clinically, patients may present with palpitations, dizziness, syncope, or even sudden cardiac arrest. The anatomy involved includes the ventricles of the heart, where abnormal electrical conduction pathways can lead to re-entry circuits. Disease progression can vary; some patients may experience infrequent episodes, while others may have persistent arrhythmias that require immediate medical intervention. Diagnostic considerations include a thorough patient history, physical examination, and electrocardiogram (ECG) findings, which typically show a wide QRS complex tachycardia. Additional tests such as echocardiography or electrophysiological studies may be warranted to assess underlying structural heart disease or to identify the precise mechanism of the arrhythmia. Management often involves antiarrhythmic medications, catheter ablation, or implantable cardioverter-defibrillators (ICDs) for high-risk patients.
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
I47.0 specifically covers re-entry ventricular arrhythmias, which may include various forms of ventricular tachycardia that arise from re-entry circuits within the ventricles. It does not cover other types of arrhythmias such as atrial fibrillation or flutter.
I47.0 should be used when the arrhythmia is confirmed to be a re-entry type originating from the ventricles. It is important to differentiate it from other ventricular arrhythmias like I47.1 (ventricular flutter) or I49.9 (arrhythmia, unspecified) based on clinical findings and diagnostic tests.
Documentation should include a detailed account of the patient's symptoms, results from ECGs showing the specific arrhythmia, any imaging studies performed, and the treatment plan. Clear documentation of the clinical rationale for the diagnosis is crucial.
