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ICD-10 Guide
ICD-10 CodesI47.9

I47.9

Billable

Paroxysmal tachycardia, unspecified

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

Code Description

ICD-10 I47.9 is a billable code used to indicate a diagnosis of paroxysmal tachycardia, unspecified.

Key Diagnostic Point:

Paroxysmal tachycardia, unspecified, refers to episodes of rapid heart rate that occur intermittently and are not attributed to a specific underlying cause. Clinically, patients may present with palpitations, dizziness, shortness of breath, or chest discomfort during episodes. The heart's anatomy involved includes the atria and ventricles, where electrical impulses can become disorganized, leading to tachycardia. The condition can progress from occasional episodes to more frequent occurrences, potentially leading to complications such as heart failure or stroke if left untreated. Diagnostic considerations include a thorough patient history, physical examination, and diagnostic tests such as electrocardiograms (ECGs) or Holter monitoring to capture the episodes. It is essential to rule out other causes of tachycardia, such as hyperthyroidism or electrolyte imbalances, to ensure accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis to rule out other tachycardias.
  • Treatment complexity: May involve lifestyle changes, medications, or procedures like catheter ablation.
  • Documentation requirements: Requires detailed patient history and episode descriptions.
  • Coding specificity: Limited specificity as it does not indicate the type of paroxysmal tachycardia.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of tachycardia.
  • Documentation gaps: Incomplete patient history or lack of episode details.
  • Billing challenges: Potential denials due to insufficient documentation or unclear diagnosis.

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

Internal 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 paroxysmal tachycardia lies in its potential to affect patient quality of life and increase the risk of more severe cardiovascular events. Population health impact includes the need for effective management strategies to reduce hospitalizations and improve outcomes. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns reflect the need for ongoing monitoring and management of patients with this condition. Epidemiologically, paroxysmal tachycardia is prevalent in various populations, necessitating awareness and effective management in clinical practice.

ICD-9 vs ICD-10

The clinical significance of paroxysmal tachycardia lies in its potential to affect patient quality of life and increase the risk of more severe cardiovascular events. Population health impact includes the need for effective management strategies to reduce hospitalizations and improve outcomes. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns reflect the need for ongoing monitoring and management of patients with this condition. Epidemiologically, paroxysmal tachycardia is prevalent in various populations, necessitating awareness and effective management in clinical practice.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of diagnostic tests to confirm the diagnosis and the potential need for treatment interventions. Common denials may arise from inadequate documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and any associated procedures.

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 I47.9?

I47.9 covers unspecified paroxysmal tachycardia, which can include various types of tachycardia episodes that occur intermittently but do not fit into more specific categories such as atrial fibrillation or ventricular tachycardia.

When should I47.9 be used instead of related codes?

I47.9 should be used when the specific type of paroxysmal tachycardia is not documented or when the clinician has not specified the underlying cause, differentiating it from codes that indicate specific types.

What documentation supports I47.9?

Documentation should include a detailed account of the patient's symptoms, frequency and duration of episodes, any diagnostic tests performed, and the clinician's assessment to support the diagnosis of unspecified paroxysmal tachycardia.