Persistent atrial fibrillation
ICD-10 I48.1 is a used to indicate a diagnosis of persistent atrial fibrillation.
Persistent atrial fibrillation (AF) is a common cardiac arrhythmia characterized by continuous atrial electrical activity leading to ineffective atrial contraction and an irregularly irregular ventricular response. Clinically, patients may present with palpitations, dyspnea, fatigue, or may be asymptomatic. The condition involves the atria of the heart, where disorganized electrical signals disrupt normal rhythm. Over time, persistent AF can lead to complications such as heart failure, stroke, and other thromboembolic events due to the formation of blood clots in the left atrial appendage. Diagnosis typically involves an electrocardiogram (ECG) to confirm the presence of AF and may be supported by echocardiography to assess structural heart changes. Management strategies include rate control, rhythm control, and anticoagulation therapy to mitigate stroke risk. The progression of persistent AF can vary, with some patients experiencing episodes of paroxysmal AF before developing persistent forms. Regular monitoring and follow-up are essential for optimizing treatment and improving patient outcomes.
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
I48.1 specifically covers persistent atrial fibrillation, which is defined as AF that lasts longer than seven days or requires intervention to restore normal rhythm. It is distinct from paroxysmal AF, which resolves spontaneously.
I48.1 should be used when the patient has been diagnosed with persistent atrial fibrillation, characterized by continuous AF lasting more than seven days or requiring cardioversion. It should not be used for paroxysmal or permanent AF.
Documentation should include ECG findings confirming persistent AF, clinical symptoms experienced by the patient, treatment plans, and any relevant comorbid conditions that may affect management.
