2025 ICD-10-CM code I47.2
(Active) Effective Date: N/A Revision Date: N/A Cardiac Arrhythmias - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Ventricular tachycardia is a rapid heart rhythm originating in the ventricles, exceeding 100 beats per minute.
Modifiers may be applicable depending on the circumstances of the service.For example, modifier 59 may be used to indicate a distinct procedural service.
Medical necessity for diagnostic and therapeutic interventions for ventricular tachycardia is established based on the severity and frequency of the arrhythmia, its impact on the patient's hemodynamics and functional status, and the risk of potentially life-threatening complications such as sudden cardiac death.Documentation must support the appropriateness of the chosen interventions based on established guidelines and clinical judgment.
Diagnosis and management of ventricular tachycardia requires a comprehensive approach involving careful history taking, physical examination, electrocardiography (ECG), and potentially other advanced diagnostic testing (e.g., echocardiography, cardiac catheterization). Treatment options may range from medication to implantable devices (pacemakers/defibrillators) depending on the patient's clinical presentation and risk stratification.
In simple words: Ventricular tachycardia is a fast heartbeat originating in the lower chambers of the heart.It's characterized by a heart rate faster than 100 beats per minute and can cause symptoms like skipped beats, palpitations, chest pain, dizziness, or fainting.
Ventricular tachycardia (VT) is a cardiac arrhythmia characterized by three or more consecutive ventricular complexes at a rate exceeding 100 beats per minute (bpm), or a cycle length less than 600 milliseconds.It originates in the ventricles below the bundle of His, resulting from either automatic impulse formation or re-entrant impulse conduction.VT can be paroxysmal (sudden onset and cessation) or non-paroxysmal, with QRS complexes that may be uniform or polymorphic. Ventricular beating may be independent of atrial beating (AV dissociation). The severity and clinical presentation vary widely depending on the underlying cause, duration, and morphology of the VT.
Example 1: A 65-year-old male with a history of coronary artery disease presents to the emergency department with palpitations and lightheadedness. ECG reveals sustained monomorphic ventricular tachycardia.He is treated with synchronized cardioversion and admitted for further evaluation and management., A 40-year-old female with long QT syndrome experiences an episode of syncope.Holter monitoring reveals frequent runs of nonsustained ventricular tachycardia. She is started on beta-blockers and undergoes genetic testing., A 72-year-old male post-myocardial infarction develops ventricular tachycardia during cardiac rehabilitation. He is immediately treated with antiarrhythmic medications and his rehabilitation program is modified.
Detailed ECG findings, including rate, rhythm, morphology of QRS complexes, presence of AV dissociation, and duration of the arrhythmia.Supporting clinical information such as patient symptoms, vital signs, and response to treatment.Results of any additional investigations (e.g., echocardiogram, cardiac catheterization, blood tests).Treatment plan and documentation of its effectiveness.
** The code I47.2 is used to report ventricular tachycardia regardless of the underlying cause.Further specificity regarding the characteristics of the VT (e.g., monomorphic, polymorphic, sustained, nonsustained) may be documented in the clinical record but is not reflected in the code itself.
- Payment Status: Active
- Specialties:Cardiology, Electrophysiology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center, Office