2025 ICD-10-CM code I47
(Active) Effective Date: N/A Revision Date: N/A Cardiac Arrhythmias - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Paroxysmal tachycardia; rapid heart rate that starts and stops suddenly.
Modifiers may be applicable depending on the specific circumstances of the service provided.Consult the most current CPT and HCPCS coding guidelines for relevant modifier usage.
Medical necessity for diagnosis and treatment of paroxysmal tachycardia is established by the presence of symptoms suggestive of the condition and the need for intervention to prevent or manage potential complications such as syncope, heart failure, or stroke.Documentation should clearly support the clinical indication for testing and treatment.Specific payer requirements and local coverage determinations should be considered.
The clinical responsibility for managing a patient with paroxysmal tachycardia typically involves a cardiologist or other healthcare professional specializing in cardiac arrhythmias.Their duties may include performing diagnostic tests (such as electrocardiograms, Holter monitoring, and echocardiograms), evaluating the patient's symptoms, determining the underlying cause of the tachycardia, and recommending appropriate management strategies (such as medication, lifestyle modifications, or procedures).
- Diseases of the circulatory system (I00-I99)
- I47 is categorized under the broader classification of Diseases of the circulatory system (I00-I99) and specifically falls under the subcategory of Other forms of heart disease (I30-I52).Further sub-classification is possible depending on the location of the arrhythmia (e.g., I47.1 Supraventricular tachycardia, I47.2 Ventricular tachycardia).
In simple words: Paroxysmal tachycardia is a heart condition where your heart beats very fast for a short time, then returns to normal.This can happen suddenly and unexpectedly, and might cause symptoms like a racing heart, dizziness, or shortness of breath.Doctors use tests to figure out what's causing it and recommend treatment.
I47, Paroxysmal tachycardia, refers to a rapid heart rate that begins and ends abruptly.It is characterized by episodes of abnormally fast heartbeats, which can vary in duration and frequency.The episodes may be associated with symptoms such as palpitations, dizziness, shortness of breath, or chest pain.The underlying cause can vary, ranging from benign conditions to more serious heart diseases.Further sub-classification (e.g., I47.1 Supraventricular tachycardia, I47.2 Ventricular tachycardia) may be necessary based on the specific location of the abnormal electrical activity within the heart.
Example 1: A 65-year-old male patient presents to the emergency department with sudden onset palpitations, dizziness, and shortness of breath.ECG reveals episodes of paroxysmal supraventricular tachycardia.The patient is treated with medication, and the episodes resolve., A 30-year-old female patient experiences recurrent episodes of paroxysmal ventricular tachycardia.Electrophysiology study identifies an accessory pathway.The patient undergoes catheter ablation to correct the arrhythmia., A 70-year-old patient with a history of coronary artery disease experiences paroxysmal tachycardia during a stress test.The episode is managed with medication, and the patient undergoes further cardiac evaluation to assess the underlying cause.
Detailed patient history, including onset, frequency, duration, and associated symptoms of tachycardia episodes.ECG recordings showing the episodes of tachycardia.Results of any relevant diagnostic tests (e.g., Holter monitoring, echocardiogram, electrophysiology study).Details of any treatment administered and the patient's response to treatment.
** The information provided here is for educational purposes and should not be considered exhaustive.Always consult the latest official ICD-10-CM coding guidelines and payer-specific requirements for accurate coding and billing.This information is current as of December 3, 2024.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier will depend on the services rendered and whether they are separately billable components of a larger procedure.Consult the applicable coding guidelines and payer requirements for specific guidance.
- Specialties:Cardiology, Electrophysiology, Internal Medicine, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Emergency Room, Ambulatory Surgical Center