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2025 ICD-10-CM code I48.3

Typical atrial flutter.

Accurate coding requires a thorough review of the patient's medical record to ensure that the reported code aligns with the clinical documentation and findings.

Modifiers may be applicable depending on the specific circumstances of the encounter and the services rendered.Consult the official CPT modifier guidelines.

Medical necessity for treatment of atrial flutter is established by the presence of symptoms (palpitations, shortness of breath, chest pain, syncope) or the presence of high risk of thromboembolic events.The severity of symptoms and the patient's overall health status guide the choice of management strategies.

Diagnosis and management of atrial flutter; this may involve electrocardiographic interpretation, cardiac monitoring, medication management (e.g., antiarrhythmics, anticoagulants), cardioversion, catheter ablation, or pacemaker implantation, depending on the severity and patient's clinical presentation.

IMPORTANT:I48.4 (Atypical atrial flutter), I48.92 (Unspecified atrial flutter) may be used if the atrial flutter does not meet the criteria for typical atrial flutter.Consider I48.1 for atrial fibrillation.

In simple words: Typical atrial flutter is a heart rhythm problem where the upper chambers of the heart beat too fast.This fast heartbeat can cause symptoms and may need medical treatment.

I48.3, Typical atrial flutter, is an ICD-10-CM code representing a specific type of atrial flutter characterized by its typical electrocardiographic pattern.It signifies a rapid, regular rhythm originating in the atria of the heart, often requiring medical intervention due to potential complications.

Example 1: A 70-year-old male presents with palpitations and shortness of breath. ECG reveals typical atrial flutter.The patient is started on anticoagulation therapy and scheduled for catheter ablation., A 65-year-old female with a history of hypertension and coronary artery disease is admitted with chest pain and ECG showing typical atrial flutter.She undergoes cardioversion and is subsequently placed on rate-control medication., A 50-year-old presents for routine checkup and is found to have asymptomatic typical atrial flutter during ECG screening.The physician monitors for any symptom development and begins a comprehensive lifestyle modification program to focus on cardiac health.

Detailed patient history including symptoms (palpitations, dizziness, syncope, shortness of breath, chest pain); physical examination findings; 12-lead ECG showing typical atrial flutter;any relevant laboratory results (e.g., electrolytes, thyroid function tests); echocardiogram results (to assess cardiac function and structure);and results of any interventions (e.g., cardioversion, ablation).

** This code should be used only when the electrocardiographic findings clearly demonstrate typical atrial flutter.Differentiation from other arrhythmias is critical for proper coding.

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