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2025 ICD-10-CM code I49.0

Ventricular fibrillation and flutter.

Code I49.0 should be used when the documentation clearly indicates both ventricular fibrillation and flutter.If only one of these rhythms is documented, the appropriate more specific code should be used. It's crucial to differentiate between ventricular fibrillation and other less serious arrhythmias.

Medical necessity is established by the life-threatening nature of the condition.Ventricular fibrillation requires immediate intervention to restore normal heart rhythm and prevent cardiac arrest.

Diagnosis and management typically fall under the purview of cardiologists, emergency medicine physicians, or other specialists trained in cardiac arrhythmias.Clinical responsibility includes accurate diagnosis based on ECG findings, stabilizing the patient, and providing appropriate treatment such as defibrillation, medication, or other interventions.

In simple words: This code represents a very serious heart rhythm problem where the lower chambers of the heart (ventricles) quiver instead of beating regularly, which prevents the heart from pumping blood effectively. This is a life-threatening emergency.

This code signifies a rapid, irregular, and unsynchronized contraction of the ventricles of the heart, resulting in the inability of the heart to effectively pump blood. This condition can be life-threatening if not treated promptly.

Example 1: A patient presents to the emergency department with sudden onset of palpitations, shortness of breath, and dizziness. An ECG reveals ventricular fibrillation. The patient is immediately defibrillated and stabilized., A patient with a history of coronary artery disease experiences an episode of ventricular fibrillation during a routine stress test. The patient is treated with medication to control the arrhythmia and prevent recurrence., A patient with idiopathic ventricular fibrillation, a genetic condition predisposing them to this arrhythmia, undergoes implantation of an implantable cardioverter-defibrillator (ICD) to automatically detect and terminate any future episodes of ventricular fibrillation.

Documentation should include ECG findings confirming the diagnosis, description of the episode, any associated symptoms, treatment provided (e.g., defibrillation, medications), and any underlying conditions that may have contributed to the event.

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