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ICD-10 Guide
ICD-10 CodesI47.29

I47.29

Billable

Other ventricular tachycardia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I47.29 is a billable code used to indicate a diagnosis of other ventricular tachycardia.

Key Diagnostic Point:

I47.29 refers to 'Other ventricular tachycardia,' a condition characterized by an abnormal and rapid heart rhythm originating from the ventricles. Clinically, patients may present with palpitations, dizziness, syncope, or even chest pain. The anatomy involved includes the heart's ventricles, which are responsible for pumping blood to the lungs and the rest of the body. Ventricular tachycardia (VT) can arise from various underlying conditions, including ischemic heart disease, cardiomyopathy, electrolyte imbalances, or structural heart abnormalities. Disease progression can lead to more severe arrhythmias, such as ventricular fibrillation, which can be life-threatening. Diagnostic considerations include electrocardiogram (ECG) findings, echocardiography, and possibly electrophysiological studies to determine the origin and mechanism of the tachycardia. It is crucial to differentiate I47.29 from other forms of tachycardia, such as atrial tachycardia or sustained ventricular tachycardia, to guide appropriate management and treatment strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation to differentiate from other arrhythmias.
  • Treatment complexity: Management may involve medications, catheter ablation, or implantable devices.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis.
  • Coding specificity: Requires precise coding to reflect the specific type of ventricular tachycardia.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of tachycardia.
  • Documentation gaps: Incomplete clinical notes regarding the patient's symptoms and diagnostic tests.
  • Billing challenges: Potential denials if the diagnosis is not well-supported by documentation.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I47.29 lies in its potential to lead to serious complications if not properly managed. It affects a notable portion of the population, particularly those with underlying heart conditions. Understanding and accurately coding this condition can improve patient outcomes and inform healthcare utilization patterns. Quality measures related to arrhythmias often include timely diagnosis and appropriate management, which can impact overall healthcare costs and resource allocation.

ICD-9 vs ICD-10

The clinical significance of I47.29 lies in its potential to lead to serious complications if not properly managed. It affects a notable portion of the population, particularly those with underlying heart conditions. Understanding and accurately coding this condition can improve patient outcomes and inform healthcare utilization patterns. Quality measures related to arrhythmias often include timely diagnosis and appropriate management, which can impact overall healthcare costs and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations should also take into account the complexity of the case and the treatments provided.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I47.29?

I47.29 encompasses various forms of non-sustained ventricular tachycardia that do not fall under more specific codes. This includes idiopathic VT and those associated with structural heart disease, but excludes sustained VT which is coded separately.

When should I47.29 be used instead of related codes?

I47.29 should be used when the ventricular tachycardia is not classified as sustained or when the specific type of VT is unknown. It is important to document the clinical context to justify this code.

What documentation supports I47.29?

Documentation should include a detailed history of the patient's symptoms, results from ECG or Holter monitoring, and any imaging studies that support the diagnosis of other ventricular tachycardia.