![]() This is the American version of 148.91 is different from the international version of 148. The latest (2023) version of ICD-10-CM 148.91 became effective as of October 1, 2022. ![]() Both paroxysmal and persistent AF may become more frequent and, over time, result in permanent AF. I48.91 is a billable/specific ICD-10-CM code that can be used for reimbursements by indicating specific diagnostic services. Permanent AF is a condition in which a normal heart rhythm can't be restored with treatment. It may stop on its own, or it can be stopped with treatment. Persistent AF is a condition in which the abnormal heart rhythm continues for more than a week. Ambulatory electrocardiogram (ECG) monitoring provides a view of cardiac activity over an extended period of timeandtime and can be performed using various techniques. For Holter monitoring beyond 48 hours, see clinical decision support criteria. No map (No ICD-10 code exists for unspecified vessel native or bypass graft must be indicated) 427.31 Atrial fibrillation ICD-10-CM Codes I48.0 Paroxysmal atrial fibrillation I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation I48.91 Unspecified atrial fibrillation 427. Persistent Atrial Fibrillation (I48.1 CC) Description This policy provides medical necessity guidelines for Holter monitoring up to 48 hours. They stop within about a week, but usually in less than 24 hours. In paroxysmal (par-ok-SIZ-mal) atrial fibrillation (AF), the faulty electrical signals and rapid heart rate begin suddenly and then stop on their own. The most recent clinical definitions of afib are: This coding quandary leaves the coder querying the physician each time atrial fibrillation is not specified. Code Code Tree Want to read the entire topic Access the full ICD-10 Coding Guide for 9. I48.9 Unspecified atrial fibrillation and atrial flutter Code Code I48.91 - Unspecified atrial fibrillation Billable Theres more to see - the rest of this topic is available only to subscribers.The ICD-10 Alphabetic Index shows the following tabular entries for atrial fibrillation: Developing clinical definitions will assist in the physician query process going forward but be sure physicians are involved and agree with your plan.Įxample- New codes for atrial fibrillation are without definition. Many facilities are developing clinical definitions regarding new terms and descriptive diagnostic modifiers. Do we query or not query? We must decide. ![]() How are coders and CDI specialists to know what do do? Well again, it all goes back to the physician. ![]()
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