Unspecified atrial flutter
ICD-10 I48.92 is a billable code used to indicate a diagnosis of unspecified atrial flutter.
Unspecified atrial flutter (I48.92) is a type of supraventricular tachycardia characterized by rapid, organized electrical activity in the atria, leading to an irregular heartbeat. Clinically, patients may present with palpitations, shortness of breath, fatigue, or dizziness. The anatomy involved includes the atria of the heart, where abnormal electrical conduction occurs, often due to structural heart disease, hypertension, or ischemic heart conditions. Disease progression can lead to complications such as heart failure or thromboembolic events, including stroke, if not appropriately managed. Diagnostic considerations for atrial flutter include an electrocardiogram (ECG) to identify characteristic flutter waves, typically seen in the inferior leads. Holter monitoring or event recorders may also be utilized for intermittent symptoms. Given the potential for atrial flutter to progress to more serious arrhythmias, timely diagnosis and management are crucial.
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
I48.92 covers unspecified atrial flutter, which may occur in patients with various underlying conditions such as heart failure, hypertension, or structural heart disease. It does not specify the type of atrial flutter, which can include typical or atypical forms.
I48.92 should be used when the specific type of atrial flutter is not documented or when the clinical presentation does not allow for a more specific code. If the type is known, such as typical atrial flutter, I48.91 should be used instead.
Documentation should include a detailed clinical history, symptoms experienced by the patient, results from ECG or Holter monitoring, and any relevant comorbidities. Clear documentation of the absence of other specific types of atrial flutter is also necessary.
