Paroxysmal atrial fibrillation
ICD-10 I48.0 is a billable code used to indicate a diagnosis of paroxysmal atrial fibrillation.
Paroxysmal atrial fibrillation (AF) is characterized by episodes of rapid and irregular heartbeats that spontaneously resolve within seven days, often lasting from a few minutes to several hours. The condition arises from disorganized electrical signals in the atria, leading to ineffective atrial contractions and potential thrombus formation. The anatomy involved includes the atria, particularly the left atrium, where ectopic foci, often from the pulmonary veins, initiate the arrhythmia. Disease progression can lead to persistent atrial fibrillation, increasing the risk of stroke and heart failure. Diagnostic considerations include patient history, physical examination, and electrocardiogram (ECG) findings, which typically show irregularly irregular R-R intervals. Holter monitoring or event recorders may be employed for intermittent symptoms. Risk factors include hypertension, coronary artery disease, heart failure, and lifestyle factors such as obesity and alcohol consumption. Management strategies often involve rate or rhythm control and anticoagulation therapy to mitigate stroke risk.
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
I48.0 specifically covers paroxysmal atrial fibrillation, which is defined by episodes that resolve spontaneously within seven days. It does not include persistent or permanent forms of atrial fibrillation.
I48.0 should be used when the patient experiences intermittent episodes of atrial fibrillation that resolve on their own. If the AF becomes persistent or permanent, codes I48.1 or I48.2 should be used respectively.
Documentation should include patient history of AF episodes, ECG findings showing irregular rhythms, and any treatments administered. Clear notes on the duration and frequency of episodes are crucial.
