2025 ICD-10-CM code I45.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Other forms of heart disease (I30-I5A) Diseases of the circulatory system (I00-I99) Feed
Other specified heart block; this includes sinoatrial and sinoauricular blocks.
Medical necessity for I45.5 is established when the patient demonstrates symptoms related to the heart block (e.g., syncope, near-syncope, dizziness, fatigue) or when hemodynamic compromise is present.The severity and frequency of the block should be documented to justify the intervention, such as pacemaker implantation.
Diagnosis and management of heart block, including ECG interpretation, cardiac monitoring, and potential pacemaker implantation.
In simple words: This code describes a problem with the heart's electrical signals that control its rhythm. The signals may be slowed down or blocked, causing an irregular heartbeat.There are different types, and the severity can vary.
I45.5 in the ICD-10-CM classification system denotes other specified heart blocks.This category encompasses various types of heart blocks not specified elsewhere, such as sinoatrial (SA) block and sinoauricular (SA) block.These conditions involve disruptions in the normal electrical conduction pathway within the heart, leading to irregularities in the heartbeat rhythm.The specific manifestations and severity can vary depending on the location and extent of the conduction disturbance.
Example 1: A 65-year-old male presents with dizziness and syncope.ECG reveals a sinoatrial block.Further investigation with Holter monitoring is performed to assess the frequency and severity of the block, and a pacemaker is recommended., A 72-year-old female with a history of myocardial infarction is found to have an abnormal rhythm on routine ECG.Further testing confirms a second-degree atrioventricular block (Mobitz type II).A pacemaker is placed to prevent significant bradycardia., A 40-year-old presents with palpitations and lightheadedness that's increasingly frequent.A diagnosis of sinoauricular block is made after a comprehensive evaluation including ECG and tilt table testing.A pacemaker is recommended as symptoms are increasingly frequent.
* Detailed patient history including symptoms (e.g., dizziness, syncope, palpitations).* Physical examination findings.* Electrocardiogram (ECG) findings, including rhythm strip analysis.* Results of any additional diagnostic tests (e.g., Holter monitor, exercise stress test, echocardiogram).* Physician's assessment and treatment plan.
** Accurate coding requires precise documentation of the type and severity of the heart block.Differentiation from other heart block types is crucial for proper reimbursement.
- Payment Status: Active
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital