Atrial fibrillation and flutter
ICD-10 I48 is a used to indicate a diagnosis of atrial fibrillation and flutter.
Atrial fibrillation (AF) and atrial flutter are common cardiac arrhythmias characterized by disorganized electrical activity in the atria, leading to ineffective atrial contraction and an irregular ventricular response. AF is the most prevalent sustained arrhythmia, often associated with underlying cardiovascular diseases such as hypertension, heart failure, and coronary artery disease. Atrial flutter, while less common, can occur in conjunction with AF or as a standalone condition. Clinically, patients may present with palpitations, dyspnea, fatigue, or even syncope. The anatomy involved includes the atria, which are the upper chambers of the heart, and the conduction system that regulates heart rhythm. Disease progression can lead to complications such as thromboembolism, resulting in stroke, and heart failure due to loss of effective atrial contraction. Diagnostic considerations include electrocardiograms (ECGs) to identify the rhythm and rate, echocardiography to assess structural heart disease, and continuous monitoring in certain cases. Management may involve rate or rhythm control strategies, anticoagulation therapy, and potential catheter ablation for refractory cases.
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
ICD-10 code I48 encompasses atrial fibrillation and atrial flutter, including paroxysmal, persistent, and permanent forms of AF, as well as typical and atypical atrial flutter. Each subtype has specific diagnostic criteria based on the duration and pattern of the arrhythmia.
I48 should be used when a patient is diagnosed with atrial fibrillation or flutter specifically. It is important to differentiate from other arrhythmias (I49) or conditions affecting heart rhythm to ensure accurate coding and appropriate management.
Documentation for I48 should include a clear diagnosis of atrial fibrillation or flutter, results from ECG or Holter monitoring, treatment plans, and any relevant comorbidities. Detailed notes on patient symptoms and responses to treatment are also essential.
