The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
Why ICD-10 codes are important
Used for medical claim reporting in all healthcare settings, ICD-10-CM is a standardized classification system of diagnosis codes that represent conditions and diseases, related health problems, abnormal findings, signs and symptoms, injuries, external causes of injuries and diseases, and social circumstances.
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
I48. 0 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 I48. 0 became effective on October 1, 2021.
ICD-10 code I48. 0 for Paroxysmal atrial fibrillation is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
The code for “atrial fibrillation with RVR” is I48. 91 Unspecified atrial fibrillation.
Chronic AF is reported using code I48. 20 (a CC) when the specific type of AF is not documented. When the diagnosis is atrial flutter/fibrillation, assign both the code for atrial flutter (I48. 92) and atrial fibrillation based on the specific type of atrial fibrillation.
Atrial fibrillation (A-fib) is an irregular and often very rapid heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib increases the risk of stroke, heart failure and other heart-related complications.
0: Paroxysmal atrial fibrillation.
In some cases of AFib, the fibrillation of the atria causes the ventricles, or lower chambers of the heart, to beat too fast. This is called a rapid ventricular rate or response (RVR). If you have AFib with RVR you'll experience symptoms, typically a rapid or fluttering heartbeat.
What is RVR? Atrial fibrillation with a rapid ventricular response (RVR) occurs when rapid contractions of your atria cause the ventricles in your heart to beat too fast. This rapid beating means your ventricles aren't receiving enough blood and can't give your body correctly oxygenated blood.
ICD-10-CM Diagnosis Code I48 I48.
Both heart diseases have the potential of becoming serious. However, many doctors and other health care professionals consider atrial flutter to be less serious than atrial fibrillation because flutter symptoms tend to be less severe and flutter waves have less risk of embolization (clot formation).
Normally, the top chambers (atria) contract and push blood into the bottom chambers (ventricles). In atrial fibrillation, the atria beat irregularly. In atrial flutter, the atria beat regularly, but faster than usual and more often than the ventricles, so you may have four atrial beats to every one ventricular beat.
I48ICD-10 code I48 for Atrial fibrillation and flutter is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
I48.0 is a valid billable ICD-10 diagnosis code for Paroxysmal atrial fibrillation . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: Fibrillation.
Tachycardia, also called tachyarrhythmia, is a heart rate that exceeds the normal resting rate. In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults. Heart rates above the resting rate may be normal (such as with exercise) or abnormal (such as with electrical problems within the heart).
DRG Group #308-310 - Cardiac arrhythmia and conduction disorders with MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I48.0. 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 I48.0 and a single ICD9 code, 427.31 is an approximate match for comparison and conversion purposes.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an exact match to ICD-9 code 148.0:
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
According to the Centers for Disease Control and Prevention and the National Heart, Lung and Blood Institute, National Institute of Health, “Atrial fibrillation is one of the most common types of arrhythmias… Atrial fibrillation causes the heart to beat much faster than normal, and the upper and lower chambers of the heart do not work together….
The American Heart Association has an animation of a heart in atrial fibrillation.
The different types of atrial fibrillation classified in category I48 are NOT distinguishable from each other based on an EKG/ECG result. However, subtypes and related arrhythmias may be identified, such as “Ashman’s phenomenon” and right bundle branch block.
A patient’s type of A-Fib may change over time based on duration. The initial diagnosis, perhaps seen in the patient’s History and Physical (H&P), may be different than the current diagnosis documented in the encounter being coded. Perhaps the Electronic Health Record (EHR), often notorious for “Cut and Paste” entries, has not been updated.
The American Hospital Association’s Coding Clinic for ICD-10-CM and ICD-10-PCS, Second Quarter 2019, Page 3 provided advice on what code or codes to report if the provider documents more than one type of atrial fibrillation. The advice preceded the new FY2020 codes for A-fib and the codes referenced in the first example are no longer valid.
Four new codes for atrial fibrillation were added to code category I48 Atrial fibrillation and flutter for FY2020.