icd 9 code for chronic afib

by Gilda Kovacek 7 min read

What are the early signs and symptoms of AFIB?

Atrial fibrillation. 2015. Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. ICD-9-CM 427.31 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 427.31 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an …

What are the signs and causes of AFIB?

Diagnosis Code for Reimbursement Claim: ICD-9-CM 427.31. Code will be replaced by October 2015 and relabeled as ICD-10-CM 427.31. Known As. AFIB is also known as atrial fibrillation, atrial fibrillation w rapid ventricular response, atrial fibrillation with ventricular response, atrial fibrillation chronic, atrial fibrillation paroxysmal, chronic atrial fibrillation, and paroxysmal atrial fibrillation.

Is there a cure for chronic atrial fibrillation?

2015/16 ICD-10-CM I48.91 Unspecified atrial fibrillation. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 427.31 is one of thousands of ICD-9-CM codes used in healthcare.

What causes chronic atrial fibrillation?

ICD-9 Code 427.31 Atrial fibrillation. ICD-9 Index; Chapter: 390–459; Section: 420-429; Block: 427 Cardiac dysrhythmias; 427.31 - Atrial fibrillation

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Known As

AFIB is also known as atrial fibrillation, atrial fibrillation w rapid ventricular response, atrial fibrillation with ventricular response, atrial fibrillation chronic, atrial fibrillation paroxysmal, chronic atrial fibrillation, and paroxysmal atrial fibrillation.

AFIB Definition and Symptoms

AFIB or atrial fibrillation is a type of abnormal heartbeat that is very common. The heartbeat is irregular and often rapid, this causes poor blood flow to the body. Symptoms include confusion, shortness of breath, weakness, decreased blood pressure, heart palpitations, and chest pain.

What is the ICD-10 code for atrial fibrillation?

427.31 is a legacy non-billable code used to specify a medical diagnosis of atrial fibrillation. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

How to diagnose AF?

Doctors diagnose AF using family and medical history, a physical exam, and a test called an electrocardiogram (EKG), which looks at the electrical waves your heart makes. Treatments include medicines and procedures to restore normal rhythm. Atrial fibrillation - discharge. Atrial fibrillation or flutter.

What is a code note?

Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.

How many ICD-10 codes are there for atrial fibrillation?

In ICD-10-CM, there are four codes to report atrial fibrillation:

Why do people get atrial fibrillation?

The causes of atrial fibrillation is oftentimes unknown, but can be the result of damage to the heart’s electrical system caused by conditions such as uncontrolled hypertension and coronary artery disease. Atrial fibrillation can develop in any person including children but the risk is higher in patients of advanced age, have hypertension, have underlying heart disease, binge drinking of alcoholic beverages, family history, sleep apnea sufferers, athletes, patients with thyroid disease, diabetes and asthma are some of the more common disease that put a patient at higher risk for developing atrial fibrillation.

What is the name of the heart that causes a patient to have a stroke?

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.

Is a patient with erratic heartbeat still atrial fibrillation?

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.

Does atrial fibrillation go away?

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.

What is the code for AFIB?

The provider’s final diagnostic statement listed “chronic persistent atrial fibrillation.” Since there are unique codes for both chronic and persistent AFib, which code is more appropriate: I48.1, persistent AFib, or I48.2, chronic AFib?

How many codes are assigned for AFIB?

Assign only one code for the specific type of AFib, since some of the terms are less specific, such as chronic AFib, and some of the different types of AFib cannot clinically occur at the same time. For example, if the provider documents both chronic and persistent AFib, assign only code I48.1, persistent atrial fibrillation. Persistent AFib typically may require repeat pharmacological or electrical cardioversion and does not stop within seven days. Long-standing persistent AFib is persistent and continuous, lasting longer than one year. Permanent AFib is long-standing persistent atrial fibrillation where cardioversion is not indicated or cannot be performed.

What is the difference between AFIB and chronic AFIB?

Persistent AFib is an abnormal heart rhythm that continues for seven days or longer, or that requires repeat electrical or pharmacological cardioversion. 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.

Is AFIB a confirmed diagnosis?

In an inpatient setting, persistent AFib needs to be reported as a confirmed diagnosis. When multiple types of AFib are documented in the record, select the most specific type. Document to the highest degree of specificity for appropriate ICD-10 code assignment. AFib is still reported as long as the patient requires ongoing medication to help control the rate. AFib is very common in postoperative patients and should be verified as a complication before coding it.

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