Persistent atrial fibrillation1: Persistent atrial fibrillation.
Long term (current) use of anticoagulants Z79. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
I48. 2 is used to report atrial fibrillation when specified as chronic or permanent (Will be expanded 10/1/19) I48. 0 is used to report atrial fibrillation when specified as paroxysmal.
Paroxysmal AFib are episodes of AFib that occur occasionally and usually stop spontaneously. Episodes can last a few seconds, hours or a few days before stopping and returning to normal sinus rhythm, which is the heart's normal rhythm. Some people may have single episodes of AFib.
I48. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
01 Long term (current) use of anticoagulants.
Chronic AFib is a nonspecific term that could be referring to paroxysmal, persistent, long-standing persistent, or permanent AFib. Since code I48. 2 is nonspecific, code I48. 1 is a more appropriate code assignment.
AF successfully controlled by cardiac ablation alone (not requiring antiarrhythmic medications) should be reported using code Z86. 79 (history of AF). If cardiac ablation for AF was performed and the patient still requires medication to prevent recurrences, the diagnosis should be AF and not “history of AF”.
Atrial fibrillation, also known as A-fib, is the most common form of arrhythmia, which is a condition where a person experiences heart rhythm problems. Paroxysmal atrial fibrillation occurs when a rapid, erratic heart rate begins suddenly and then stops on its own within 7 days.
There are three types of atrial fibrillation:Paroxysmal Afib: This type of Afib occurs intermittently and stops on its own within seven days.Persistent Afib: This type of atrial fibrillation lasts longer than seven days. ... Long-standing persistent Afib: This is similar to persistent Afib, but lasts longer than a year.
Rapid AFib can lead to a rapid pulse rate, chronic AFib has occurred for a long time, and paroxysmal AFib refers to short bursts of atrial fibrillation.
I48.20 is a billable diagnosis code used to specify a medical diagnosis of chronic atrial fibrillation, unspecified. The code I48.20 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Unspecified diagnosis codes like I48.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.
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This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Cardiovascular Nuclear Medicine.
The use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the attached determination.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
I48.20 is a billable diagnosis code used to specify a medical diagnosis of chronic atrial fibrillation, unspecified. The code I48.20 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Unspecified diagnosis codes like I48.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.