2025 ICD-10-CM code I45
(Active) Effective Date: N/A Diseases of the circulatory system - Other forms of heart disease IX Feed
This code encompasses various heart conduction disorders, excluding those specifically classified elsewhere.
Medical necessity for I45 depends on the specific conduction abnormality and its impact on the patient's health.The documentation should demonstrate how the condition affects the patient's cardiovascular function and justifies the need for intervention or further investigation.
Diagnosis and management of I45 often falls under the purview of cardiologists or electrophysiologists.They are responsible for interpreting electrocardiograms (ECGs) and other diagnostic tests to pinpoint the specific conduction abnormality. Treatment strategies vary based on the underlying condition and may include medication, pacemaker implantation, or other interventions.
In simple words: This code represents conditions where the heart's electrical signals, which control its rhythm, are disrupted. This can lead to irregular heartbeats.
I45 includes conduction disorders that affect the heart's electrical system, resulting in disruptions to the normal rhythm of heartbeats. These disorders can range from minor irregularities to more severe conditions impacting the heart's ability to pump blood effectively. I45 specifically excludes atrioventricular and left bundle-branch block (I44), certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional, and metabolic diseases (E00-E88), injury, poisoning, and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), systemic connective tissue disorders (M30-M36), and transient cerebral ischemic attacks and related syndromes (G45.-).
Example 1: A patient presents with palpitations and dizziness. An ECG reveals a right bundle branch block, leading to the assignment of code I45.1., A patient experiences syncope and is found to have a trifascicular block. Code I45.3 is used to document this condition. , During a routine check-up, an asymptomatic patient's ECG shows a first-degree atrioventricular block. While not included in I45, it highlights the importance of distinguishing between various conduction disorders.
Thorough documentation is essential for accurate coding.This includes a detailed history of the patient's symptoms, physical exam findings, ECG interpretations, and any other relevant diagnostic test results. The documentation should clearly specify the type of conduction disorder to justify the use of I45.
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, and other places where cardiology services are provided.