The ICD code I469 is used to code Pulseless electrical activity. Pulseless electrical activity or PEA (also known by the older term electromechanical dissociation) refers to a clinical diagnosis of cardiac arrest in which a heart rhythm is observed on the electrocardiogram that should be producing a pulse, but is not.
| ICD-10 from 2011 - 2016 I46.9 is a billable ICD code used to specify a diagnosis of cardiac arrest, cause unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The ICD code I469 is used to code Pulseless electrical activity
If cardiac arrest is the principal diagnosis with the ventricular tachycardia as a secondary diagnosis, the codes map to DRG 298 with a relative weight of 0.4395. If the ventricular tachycardia is the principal diagnosis and the cardiac arrest is a secondary diagnosis, it maps to DRG 310 with a relative weight of 0.5627.
Diagnosis Index entries containing back-references to R09.2: Arrest, arrested respiratory R09.2 Depression (acute) (mental) F32.9 ICD-10-CM Diagnosis Code F32.9 Failure, failed cardiorespiratory R09.2 - see also Failure, heart
ICD-10 code: R00. 3 Pulseless electrical activity, not elsewhere classified.
ICD-10-CM Code for Personal history of sudden cardiac arrest Z86. 74.
Cardiac arrest due to underlying cardiac condition I46. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I46. 2 became effective on October 1, 2021.
ICD-10 code: I46. 1 Sudden cardiac death, so described.
Pulseless electrical activity (PEA) is a condition where your heart stops because the electrical activity in your heart is too weak to make your heart beat. When your heart stops, you go into cardiac arrest, and you don't have a pulse. PEA is a “nonshockable” heart rhythm, meaning a defibrillator won't correct it.
ICD-10 code I46 for Cardiac arrest is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Ill-defined and unknown cause of mortality The 2022 edition of ICD-10-CM R99 became effective on October 1, 2021.
929501. If cardiopulmonary resuscitation (CPR) is performed without other E&M services, only CPT code 92950 (Cardiopulmonary resuscitation (e.g., in cardiac arrest)) shall be reported.
Asystole is a non-shockable rhythm. Therefore, if asystole is noted on the cardiac monitor, no attempt at defibrillation should be made. High-quality CPR should be continued with minimal (less than five seconds) interruption.
R57.9ICD-10 code R57. 9 for Shock, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Z82.41Z82. 41 - Family history of sudden cardiac death | ICD-10-CM.
I46.8 is a billable diagnosis code used to specify a medical diagnosis of cardiac arrest due to other underlying condition. The code I46.8 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
Free, official coding info for 2022 ICD-10-CM I46.8 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
I46.9 is a billable ICD code used to specify a diagnosis of cardiac arrest, cause unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Free, official coding info for 2022 ICD-10-CM I46.2 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
Q: A patient was admitted to the emergency department (ED) via ambulance. The emergency medical technician (EMT) noted that the patient was in full cardiac arrest, with ventricular tachycardia (VT). The EMTs shocked the patient via defibrillator en route to hospital. What would we assign for a principal diagnosis or secondary diagnosis?
by Howard Rodenberg, MD, MPH, CCDS The art of medicine, (and, for that matter, the art of life) is most often taught through what we call “pearls of wisdom.” These are those succinct nuggets of information learned through life experiences, tidbits of knowledge not found in books.
The sudden cessation of cardiac activity so that the victim subject/patient becomes unresponsive, without normal breathing and no signs of circulation. Cardiac arrest may be reversed by cpr, and/or defibrillation, cardioversion or cardiac pacing.
The 2022 edition of ICD-10-CM I46.9 became effective on October 1, 2021.
Cardiac standstill or arrest; absence of a heartbeat.
Pulseless electrical activity or PEA (also known by the older term electromechanical dissociation) refers to a clinical diagnosis of cardiac arrest in which a heart rhythm is observed on the electrocardiogram that should be producing a pulse, but is not.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I46.9. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code I46.9 and a single ICD9 code, 427.5 is an approximate match for comparison and conversion purposes.
The cardiac arrest codes are found in I46. The options are I46.2, Cardiac arrest due to an underlying cardiac condition, I46.8, Cardiac arrest due to other underlying condition, and I46.9, Cardiac arrest, cause unspecified. I46.2 and I46.8 would be secondary diagnoses because if you establish the underlying cause, ...
There are approximately 350,000-400,000 cases of cardiac arrest arising outside of the hospital setting per year, and not all of these patients make it to the emergency department. The incidence in any given hospital on any given shift is somewhere between zero and what you see on TV medical shows.
The last facet of documenting the emergency department cardiac arrest is to be sure to take inventory of the resultant conditions. Did the patient fall and sustain fractures or lacerations? Were there fractured ribs from CPR? Are there sequelae such as coma or anoxic brain injury, respiratory failure or arrest, shock liver, acute kidney injury, etc.? Make precise, thorough, and exhaustive diagnoses with appropriate linkage.
If the patient dies during the admission, the cardiac arrest will not serve as a major complication or comorbidity (MCC).
This intellectual exercise reminded me of debates I had previously about whether you code cardiac arrest in the hospital if the patient is not successfully resuscitated. For that, I and Coding Clinic have a definitive answer. If a patient sustains cardiac arrest in the hospital and you attempt (or are successful at) resuscitation, you code it and the procedures performed. If the patient dies during the admission, the cardiac arrest will not serve as a major complication or comorbidity (MCC).
If there are residual issues or deficits, those could be definitive diagnoses. For instance, if the patient has anoxic brain damage and is in respiratory arrest and on a ventilator, those could be the captured diagnoses. However, I think leaving out the cardiac arrest would be leaving out a key part of the story.
On the other hand, you are doing the workup because it occurred. If a patient has a symptom that elicits a work up, but it has resolved by the time they are brought into the ED, you still can code it, such as with syncope or altered mental status.
In ICD-10-CM the codes would be I47.2, ventricular tachycardia, and code I46.9, Cardiac arrest, unspecified.
If the cardiac arrest is due to “other” underlying condition (I46.8), the code first note is for the underlying condition, and we still have a code (I46.9) cardiac arrest, cause unspecified. There is also an Excludes 1 note for ventricular tachycardia, which states that if the documentation provides specificity regarding the type of tachycardia, ...
If cardiac arrest is the principal diagnosis with the ventricular tachycardia as a secondary diagnosis, the codes map to DRG 298 with a relative weight of 0.4395. If the ventricular tachycardia is the principal diagnosis and the cardiac arrest is a secondary diagnosis, it maps to DRG 310 with a relative weight of 0.5627.
The sudden cessation of cardiac activity so that the victim subject/patient becomes unresponsive, without normal breathing and no signs of circulation. Cardiac arrest may be reversed by cpr, and/or defibrillation, cardioversion or cardiac pacing.
The 2022 edition of ICD-10-CM I46.9 became effective on October 1, 2021.
Cardiac standstill or arrest; absence of a heartbeat.