2025 ICD-10-CM code I44.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Other forms of heart disease IX Diseases of the circulatory system Feed
First-degree atrioventricular block.
Medical necessity for further evaluation of a first-degree AV block is established when the patient is symptomatic or when there is evidence of associated heart disease that warrants further assessment and management, as the block itself might be an indicator of a more serious underlying condition. Routine monitoring suffices when asymptomatic and associated conditions are not present.
The clinical responsibility for managing a patient with a first-degree atrioventricular block typically rests with a cardiologist.Routine monitoring of the patient's heart rhythm and overall health status is crucial. Should symptoms develop or the condition progress, the cardiologist may implement treatment measures.
In simple words: First-degree atrioventricular block is a type of heart rhythm problem where there's a slight delay in the electrical signals traveling from the top chambers (atria) to the bottom chambers (ventricles) of the heart.This delay is usually minor and doesn't cause symptoms.
I44.0, in the ICD-10-CM classification system, denotes first-degree atrioventricular block. This condition is characterized by a prolonged PR interval on an electrocardiogram (ECG), indicating a delay in the conduction of electrical impulses between the atria and ventricles of the heart.The delay is usually not clinically significant and often requires no specific treatment.
Example 1: A 60-year-old woman presents for a routine check-up.An ECG reveals a prolonged PR interval consistent with a first-degree AV block. She is asymptomatic. The physician documents the finding and schedules routine follow-up., A 72-year-old man with a history of hypertension and coronary artery disease undergoes an ECG during a hospital admission for chest pain.The ECG shows a first-degree AV block.The pain is managed with medication. Further cardiac evaluation will depend on the associated pain and its duration, and other symptoms. , A 25-year-old presents with palpitations and dizziness. An ECG shows a first-degree AV block. Given additional symptoms and age, the physician may order further evaluation (e.g., echocardiogram) to rule out other potential underlying cardiac issues and establish the cause of the AV block.
* Complete patient history including relevant symptoms (e.g., palpitations, dizziness, syncope).* Physical examination findings.* Detailed ECG report with measurements.* Results of any additional investigations (e.g., echocardiography, Holter monitoring).
** First-degree AV block is often an incidental finding and may not require specific treatment.The clinical significance depends on the presence of symptoms and associated cardiac conditions.
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient