icd 10 code for sick sinus syndrome with pacemaker

by Kane Moore 9 min read

ICD-10 code I49. 5 for Sick sinus syndrome is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What is sick sinus syndrome and its symptoms?

Sick sinus syndrome is a slow heart rate. The most common cause is a gradual loss of SA node function that comes with age. You may have no symptoms or you may experience dizziness, fainting, shortness of breath, or fatigue. Sick sinus syndrome may be treated by changing your medicines, treating underlying medical conditions, or inserting a ...

What is the criteria for Sick sinus syndrome?

What are the risk factors for sick sinus syndrome?

  • Coronary artery disease or history of heart attack
  • Heart failure or cardiomyopathy
  • Atrial fibrillation
  • Inflammatory conditions that can involve the heart such as rheumatic fever, pericarditis, Chagas disease, or myocarditis
  • Infiltrative heart diseases such as sarcoidosis, amyloidosis, hemochromatosis, or scleroderma
  • Hypothyroidism
  • Rare familial diseases

More items...

What is the diagnosis code for Sick sinus syndrome?

Sick sinus syndrome. I49.5 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 I49.5 became effective on October 1, 2021. This is the American ICD-10-CM version of I49.5 - other international versions of ICD-10 I49.5 may differ.

How is sick sinus syndrome prevented?

  • Electrocardiogram (ECG). During this test, sensors (electrodes) are attached to your chest and legs to create a record of the electrical signals traveling through your heart. ...
  • Holter monitor. This portable ECG device is carried in your pocket or in a pouch on a belt or shoulder strap. ...
  • Event recorder. ...
  • Other monitors. ...
  • Implantable loop recorder. ...

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Do you code sick sinus syndrome with pacemaker?

5 – Sick Sinus Syndrome. pacemaker is in place, SSS will not be coded.

What is ICD 10 code for sick sinus syndrome?

ICD-10 code: I49. 5 Sick sinus syndrome | gesund.bund.de.

Is sinus bradycardia the same as sick sinus syndrome?

Its role is to keep the heart beat steady and regular. Sick sinus syndrome is a group of heart rhythm problems due to problems with the sinus node, such as: The heartbeat rate is too slow, called sinus bradycardia. The heartbeat pauses or stops, called sinus pauses or sinus arrest.

What type of pacemaker is used for sick sinus syndrome?

The mainstay of treatment is atrial or dual-chamber pacemaker placement, which generally provides effective relief of symptoms and lowers the incidence of atrial fibrillation, thromboembolic events, heart failure, and mortality, compared with ventricular pacemakers.

What is the ICD-10 code for pacemaker?

Z95.0ICD-10 code Z95. 0 for Presence of cardiac pacemaker is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for SSS?

ICD-10 code I49. 5 for Sick sinus syndrome is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What arrhythmias are associated with sick sinus syndrome?

Complications of sick sinus syndrome include: Atrial fibrillation, a type of irregular heartbeat (arrhythmia)

How long can you live with a pacemaker for sick sinus syndrome?

In 39 patients (mean age, 66 years) treated for sick sinus syndrome (SSS) with pacemaker insertion, the long-term prognosis was studied. Fifteen patients (42%) died during the follow-up period of 6 to 59 months (mean, 25 months).

What type of pacemaker is used for Tachy-Brady syndrome?

Aims: Many tachy-brady syndrome (TBS) patients, are implanted a permanent pacemaker (PPM) to allow continuation of anti-arrhythmic drug (AAD) therapy to maintain sinus rhythm. Many of these PPM's are implanted as a preventive measure, in absence of symptomatic bradycardia.

Is Sinus Arrhythmia a heart disease?

This condition is benign. It's a naturally occurring heartbeat variation, and it doesn't mean you have a serious heart condition. In fact, this condition is common in young, healthy adults and children.

Can AFIB cause sick sinus syndrome?

AF results in sinus node remodeling on a cellular and molecular basis that may promote SSS. However, not all patients with atrial fibrillation have SSS. Though “AF begets AF”, AF may also beget SSS; and SSS may also beget AF. Multiple studies have demonstrated that sinus node dysfunction may precede the onset of AF.

What is a sick sinus?

Sick Sinus Syndrome (SSS) is a relatively uncommon heart rhythm disorder. SSS is a group of signs or symptoms that indicate the sinus node, the heart's natural pacemaker, is not correctly functioning, causing a heart rate that is too slow or too fast.

What is pacemaker interrogation?

Pacemaker interrogation is a routine computer evaluation of pacemaker function to verify the device is programmed accurately and to assess the battery and lead function. Once a pacemaker is in place, SSS will not be coded.

Can SSS be coded as a current condition?

SSS can only be coded as a current condition when documentation states it is a continuing and ongoing problem and medications are being used to control the signs and symptoms.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act (SSA), §1862 (a) (1) (A), states that no Medicare payment shall be made for items or services that “are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.”

Article Guidance

Abstract: The National Coverage Determination (NCD) 20.8.3, Single Chamber and Dual Chamber Permanent Cardiac Pacemakers was revised with an effective date of August 13, 2013. The CMS A/B Medicare Administrative Contractors (MACs) have been instructed to implement the NCD at the local level.

Bill Type Codes

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.

Revenue Codes

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.

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