Even after doing ablation procedure to correct Afib there may be need of medication. Afib ICD 10 Code list and guidelines: Afib ICD 10 codes and guidelines can be found in chapter 9 of ICD-10-CM manual which is “diseases of the circulatory system”, code range I00 – I99
ICD-9-CM coding allowed for post-operative atrial fibrillation to be coded as a complication, with supporting language in the Coding Clinic published for the fourth quarter of 2013. This guidance is not so in ICD-10-CM. The physician has to specifically document that the post-operative atrial fibrillation is a complication of the procedure.
This would code: Fibrillation> atrial > paroxysmal. The ICD-10-CM code would be I48.0 (paroxysmal atrial fibrillation). Now, let’s assume that the provider documented that the “post-operative course is complicated by paroxysmal atrial fibrillation requiring amiodarone drip.”
An electrocardiogram was performed which shows atrial fibrillation with RVR. Physician has prescribed anticoagulants to manage Afib further. ICD-10 codes for this scenario would be: I48.91 – Atrial fibrillation unspecified
Post endometrial ablation syndrome N99. 85 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 N99. 85 became effective on October 1, 2021.
AFIB Ablation ICD 10 If the patient has had an ablation for paroxysmal or persistent atrial fibrillation, it will be under code 148.91 now that the patient is in sinus rhythm. If the condition is no longer present or therapy is required, the follow-up code Z09 would be used.
I48. 9 Unspecified atrial fibrillation and atrial fl...
The CPT® section notes state, “Code 93656 is a primary code for reporting treatment of atrial fibrillation by ablation to achieve complete pulmonary vein electrical isolation.” (emphasis added).
I48. 91 is used to report atrial fibrillation when no further specificity is available. I48. 2 is used to report atrial fibrillation when specified as chronic or permanent (Will be expanded 10/1/19)
Ablation is a procedure to treat atrial fibrillation. It uses small burns or freezes to cause some scarring on the inside of the heart to help break up the electrical signals that cause irregular heartbeats. This can help the heart maintain a normal heart rhythm. The heart has 4 chambers.
Cardiac ablation is a procedure that scars tissue in your heart to block irregular electrical signals. It is used to treat heart rhythm problems (arrhythmias). Long flexible tubes (catheters) are threaded through blood vessels to the heart.
ICD-10-CM Code for Atherosclerosis of coronary artery bypass graft(s) without angina pectoris I25. 810.
In ICD-10-CM, there are four codes to report atrial fibrillation:
Atrial fibrillation is an irregular heartbeat or arrhythmia sometimes called a quivering heart. This arrhythmia can cause a patient to develop blood clots, have a stroke, heart failure or other conditions. The heart rate is most often rapid and causes poor blood flow. When a patient is in atrial fibrillation, the upper chambers of the heart (atria) are beating differently than the lower chambers (ventricles). When this occurs, the irregular rhythm/heartbeat, prohibits the atria from contracting/relaxing and causes ineffectual filling and emptying of the ventricles. This is referred to often as a chaotic dysrhythmia.
Atrial fibrillation is still reported in patients that are not currently experiencing the erratic rhythm as long as the patient is requiring ongoing medication to help control the rate. Atrial fibrillation is very common in postoperative patients and should be verified as a complication before coding as such.
Sometimes treating and controlling the underlying cause will make the atrial fibrillation go away. If this does not help the erratic rhythm, then the patient may require treatment with beta blockers and calcium channel blockers to help slow the heart rate. The rhythm should be restored to a normal rhythm to reduce the high heart rate.