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Transcript
References
1
International Classification of Diseases, Ninth Revision of Clinical Modification. http://www.cdc.gov/nchs/icd/icd9cm.htm.
2
International Classification of Diseases, Tenth Revision, Procedure Coding System. https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-PCS-andGEMs.html.
3
International Classification of Diseases, Tenth Revision, Clinical Modification. http://www.cdc.gov/nchs/icd/icd10cm.htm.
4
Social Security Act Section 1862 42 U.S.C. 1395y(a)(1)(A), is available at http://www.ssa.gov/OP_Home/ssact/title18/1862.htm.
5
Current Procedural Terminology (CPT) is copyright 2014 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative causes or
related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS Restrictions Apply to Government
Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not
recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data
contained or not contained herein.
Brief Statement (for Arctic Front Advance™ Cardiac CryoAblation Catheter, CryoConsole and Freezor™ MAX Cardiac CryoAblation Catheter)
Indications
Medtronic CryoCath™ CryoAblation system is comprised of cryoablation
catheters and a CryoConsole. The Arctic Front Advance ST Cardiac
CryoAblation Catheter system is indicated for the treatment of drug
refractory recurrent symptomatic paroxysmal atrial fibrillation. The
Freezor MAX Cardiac CryoAblation Catheter is used as an adjunctive
device in the endocardial treatment of paroxysmal atrial fibrillation in
conjunction with the Arctic Front Advance Cryoballoon. Please read the
specific product labeling indications for use before using the cryoablation
system.
Contraindications
Use of Arctic Front Advance ST Cryoballoon is contraindicated as follows:
n in the ventricle because of the danger of catheter entrapment in the
chordae tendinae
n in patients with active systemic infections
n i n conditions where the manipulation of the catheter within the heart
would be unsafe (e.g.,intracardiac mural thrombus)
n i n patients with cryoglobulinemia
n in patients with one or more pulmonary vein stents
Use of Freezor MAX cryocatheter is contraindicated in patients with the
following conditions:
n a ctive systemic infections
n cryoglobulinemia
n other conditions where the manipulation of the catheter would be unsafe
(e.g., intracardiac mural thrombus)
Warnings and Precautions
Do not resterilize the cryoablation catheters for purpose of reuse. Use
only the appropriate size of the FlexCath™ Steerable Sheath family with
the Arctic Front Advance cryoablation catheters because using another
sheath may damage the catheter or balloon segment. Do not inflate the
balloon inside the sheath. Always verify with fluoroscopy or by using the
proximal shaft visual marker that the balloon is fully outside the sheath
before inflation to avoid catheter damage. Do not position the balloon
within the tubular portion of the pulmonary vein to minimize phrenic nerve
injury and pulmonary vein stenosis. Do not connect the cryoablation
catheter to a radiofrequency (RF) generator or use it to deliver RF energy
because this may cause catheter malfunction or patient harm. The
catheter contains pressurized refrigerant during operation; release of
this gas into the circulatory system due to equipment failure or misuse
could result in gas embolism, which can occlude vessels and lead to tissue
infarction with serious consequences. Always advance and withdraw
components slowly to minimize the vacuum created and therefore
minimize the risk of air embolism. Do not pull on the catheter,
Medtronic
710 Medtronic Parkway
Minneapolis, MN 55432-5604
USA
Tel: (763) 514-4000
Fax:(763) 514-4879
medtronic.com
Toll-free: 1 (800) 328-2518
(24-hour technical support for
physicians and medical professionals)
UC201406308b EN © Medtronic 2015.
Minneapolis, MN. All Rights Reserved.
Printed in USA. 10/2015
sheath, umbilical cables, or console while the catheter is frozen to the
tissue, as this may lead to tissue injury. Do not advance the balloon
beyond the guide wire to reduce risk of tissue damage. Do not pass the
catheter through a prosthetic heart valve (mechanical or tissue) to avoid
damage to the valve, valvular insufficiency, or premature failure of the
prosthetic valve. Always inflate the balloon in the atrium then position it
at the pulmonary vein ostium to avoid vascular injury. Do not ablate in the
tubular portion of the pulmonary vein. Monitor the status of the phrenic
nerve continuously during right-sided pulmonary vein applications using
an appropriate monitoring technique. Stop ablation immediately if phrenic
nerve impairment is observed. Consider appropriate medical strategies
to minimize the risk of damage to the lung or tracheobronchial tree and
the risk of esophogeal injury. Use appropriate levels of contrast media
in patients with comorbidities. Follow contrast labeling and institutional
procedures regarding the appropriate medical strategies to minimize risk
when using contrast media.
The CryoAblation (Arctic Front Advance and Freezor MAX) family of
catheters were not studied for safety of changes in anticoagulation
therapy in patients with atrial fibrillation. This equipment should be
used only by or under the supervision of physicians trained in left-atrial
cryoablation procedures. Cryoablation procedures should be performed
only in a fully equipped facility.
Potential Complications
Potential complications/adverse events that may be associated with
cardiac catheterization and ablation listed alphabetically below include
but are not limited to: anemia; anxiety; atrial flutter; back pain; bleeding
from puncture sites; blurred vision; bradycardia; bronchial constriction,
bronchitis; bruising; cardiac tamponade; cardiopulmonary arrest; cerebral
vascular accident; chest discomfort/pain/pressure; cold feeling; cough;
death; diarrhea; dizziness; esophageal damage (including esophageal
fistula); fatigue; fever; gastroparesis; headache; hemoptysis; hypotension/
hypertension; lightheadedness; myocardial infarction; nausea/vomiting;
nerve injury; pericardial effusion; pulmonary vein stenosis; shivering;
shortness of breath; sore throat; tachycardia; transient ischemic attack;
urinary infection; vasovagal reaction; visual changes.
Refer to the device technical manual for detailed information regarding
the procedure, indications, contraindications, warnings, precautions, and
potential complications/adverse events. For further information, please call
Medtronic at 1 (800) 328-2518 and/or consult Medtronic’s website at
www.medtronic.com.
Caution: Federal law (USA) restricts this device to sale by or on the order
of a physician.
CATHETER
ABLATION
REIMBURSEMENT
GUIDE
Updated October 1, 2015
TABLE OF
CONTENTS
ABLATION
CATHETERS
Ablation Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Arctic Front™, Arctic Front Advance™, and Arctic Front Advance™ ST Cardiac
CryoAblation Catheters
CryoAblation Catheters
n Arctic Front™ Cardiac CryoAblation Catheter, Arctic Front Advance™ Cardiac CryoAblation Catheter,
Arctic Front Advance™ ST Cardiac CryoAblation Catheter, Freezor™ Cardiac CryoAblation Catheter,
Freezor™ MAX Cardiac CryoAblation Catheter
Conventional Radiofrequency (RF) Ablation Catheters
n Marinr™ Conventional Radiofrequency (RF) Ablation Catheter, RF Conductr™ MC Conventional
Radiofrequency (RF) Ablation Catheter, and RF Contactr™ Conventional Radiofrequency (RF)
Ablation Catheter, Enhancr™ Conventional Radiofrequency (RF) Ablation Catheter
Catheter
Indication
Arctic Front , Arctic
Front Advance™, and
Arctic Front Advance™
ST Cardiac CryoAblation
Catheters
™
Treatment of drug refractory recurrent symptomatic Paroxysmal Atrial Fibrillation
(PAF)
Medicare
Other Payers
The Arctic Front™, Arctic Front Advance™, and Arctic Front Advance™ ST Cardiac CryoAblation catheters deliver
refrigerant (via the CryoConsole) through an inflatable balloon to remove heat from tissue, freezing and disabling
unwanted electrical circuits in the pulmonary veins that may contribute to PAF. The Cryoballoon’s shape achieves
contact over a broad area to create the barriers that prevent these electrical currents from entering the heart’s
atria. The FlexCath™ and the FlexCath Advance™ Steerable Sheaths position the Arctic Front™, Arctic Front
Advance™, and Arctic Front Advance™ ST Cardiac Cryoballoon in the heart.
Physician Services Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Freezor™ Cardiac CryoAblation Catheters
Coverage for Catheter Ablation Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Catheter Ablation
Diagnostic Electrophysiologic Study (EPS)
Catheter
Indication and Use
Inpatient Hospital Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Freezor™ Cardiac
CryoAblation Catheter
Treatment of Atrioventricular Nodal Re-entry Tachycardia (AVNRT).
ICD-9-CM1 crosswalk to ICD-10-PCS2 Procedure Codes
Medicare Severity Diagnosis Related Group (MS-DRG) Assignments
Freezor™ MAX Cardiac
CryoAblation Catheter
Treatment of PAF. Used in conjunction with the Arctic Front Advance™ Cryoballoon
to:
• Provide touch-up cryoablation and complete the Pulmonary Vein Isolation (PVI)
process as needed
• Cryoablate focal trigger sites
• Create the ablation line between the inferior vena cava and the tricuspid valve
Outpatient Hospital Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Comprehensive Ambulatory Payment Classification (C-APCs):
Medicare Hospital Outpatient Catheter Ablation C-Code Listing
Diagnosis Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ICD-9-CM crosswalk to ICD-10-CM3 Diagnosis Codes
The Freezor™ and Freezor™ MAX Cardiac CryoAblation Catheters are deflectable, single-use, electrophysiology
catheters designed to ablate cardiac tissue using cryothermal energy. Refrigerant is directed via the CryoConsole
through these devices, creating precise, focal lesions.
Conventional Radiofrequency (RF) Ablation Catheters
For questions or for more information, please contact Medtronic at 1 (866) 877-4102.
Catheter
Indication
RF Marinr MC Multi-Curve Steerable Ablation Catheter
RF catheters are indicated for use with
the Medtronic RF generator to deliver
RF energy for intracardiac ablation
of accessory atrioventricular (AV)
conduction pathways associated with
tachycardia for the treatment of AV nodal
re-entrant tachycardia (AVNRT) and for
creation of complete AV block in patients
with a difficult to control ventricular
response to an atrial arrhythmia.
™
The coding suggestions and coding guidelines in this guide do not replace seeking coding advice from the payer and/or your
own coding staff. The ultimate responsibility for correct coding lies with the provider of services. Please contact your local payer
for interpretation of the appropriate codes to use for specific procedures. Medtronic makes no guarantee that the use of this
information will prevent differences of opinion or disputes with Medicare or other third-party payers as to the correct form of
billing or the amount that will be paid to providers of service.
Where reimbursement is requested for the use of a product that may be inconsistent or not expressly specified in the FDA
cleared or approved labeling (e.g., instructions for use, operator’s manual, or package insert), consult with your billing advisors or
payers for advice on handling such billing issues. Some payers may have policies that make it inappropriate to submit claims for
such items or related services.
RF Marinr™ SC Single-Curve Steerable Ablation Catheter
RF Conductr™ MC Multi-Curve Bidirectional Ablation Catheter
RF Contactr™ Dual-Curve Ablation Catheter
RF Enhancr™ II Single-Curve Ablation Catheter
Conventional RF Ablation Catheters are used in conjunction with a Medtronic RF power generator to produce
therapeutic, heat-based energy at a targeted area of cardiac tissue. RF energy, delivered via the catheter,
destroys tissue integral to the onset and maintenance of most atrial tachyarrhythmias.
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COVERAGE FOR
CATHETER ABLATION PROCEDURES
Medicare:
Medicare has not issued national or local coverage determinations for catheter ablation services. The Social Security
Act allows coverage and payment for only those services that are considered to be medically reasonable and
necessary.4 The medical necessity for services provided must be documented in the medical record.
Other Payers:
We recommend that you contact the patient’s insurance company for guidance on what specific CPT™5 codes are
required for catheter ablation procedures as part of your request for a prior authorization or a pre-determination.
PHYSICIAN
SERVICES CODING
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the
primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or
induced arrhythmia (Use 93655 in conjunction with 93653-4, 93656)
+93657
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
of atrial fibrillation remaining after completion of pulmonary vein isolation
(Use 93657 in conjunction with 93656)
+93462
Left heart catheterization by transseptal puncture through intact septum or by transapical
puncture (Use 93462 in conjunction with 93452-3, 93458-93461, 93582, 93653-4)
(Do not report 93462 in conjunction with 93656)
When reporting ablation therapy codes (93653 – 93657), comprehensive EP studies may not be
separately reported.
Coding information to be used when a physician performs a diagnostic Electrophysiologic Study (EPS) prior to a
catheter ablation.
Some of the CPT5 codes used to describe EP diagnostic and cardiac catheter ablation procedures, as well as mapping
procedures, which may sometimes be concurrently performed at physician’s discretion, are listed below.
Catheter Ablation:
CPT5
Code
CPT5 Code Description
93650
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for
creation of complete heart block, with or without temporary pacemaker placement
93653
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple
electrode catheters with induction or attempted induction of an arrhythmia with right atrial
pacing and recording, right ventricular pacing and recording (when necessary) and His bundle
recording (when necessary) with intracardiac catheter ablation of arrhythmogenic focus; with
treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway,
accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or
source of atrial re-entry
(Do not report 93653 in conjunction with 93600-3, 93610, 93612, 93618-20, 93642, 93654, 93656)
93656
+93655
Diagnostic Electrophysiologic Study (EPS):
Significant changes were made to the CPT5 codes for catheter ablation procedures for services performed on and
after January 1, 2013. Both the catheter ablation and electrophysiological study (EPS) aspects of the procedure are
reflected in the new catheter ablation codes. In some instances, the catheter ablation and EPS procedures are no
longer considered distinct procedures and therefore not reportable with separate codes.
93654
Add-on codes +93655 and +93657 may be applicable when intracardiac catheter ablation of a discrete arrhythmia is performed after the treatment of the primary ablated mechanism.
…with treatment of ventricular tachycardia or focus of ventricular ectopy including intracardiac
electrophysiologic 3D mapping, when performed, and left ventricular pacing and recording, when
performed (Do not report 93654 in conjunction with 93279-84, 93286-9, 93600-3, 93609-10,
93612-3, 93618-20, 93622, 93642, 93653, 93656)
Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion
and repositioning of multiple electrode catheters with induction or attempted induction of an
arrhythmia including left or right atrial pacing/recording when necessary, right ventricular pacing/
recording when necessary and His bundle recording when necessary with intracardiac catheter
ablation of atrial fibrillation by pulmonary vein isolation (Do not report 93656 in conjunction with
93279-84, 93286-9, 93462, 93600, 93602-3, 93610, 93612, 93618-21, 93653-4)
CPT5
Code
CPT5 Code Description
93619
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right
ventricular pacing and recording, His bundle recording, including insertion and repositioning of
multiple electrode catheters, without induction or attempted induction of arrhythmia (Do not
report 93619 in conjunction with 93600, 93602-3, 93610, 93612, 93618, 93620-2, 93653-7)
93620
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple
electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing
and recording, right ventricular pacing and recording, His bundle recording (Do not report 93620 in
conjunction with 93600, 93602-3, 93610, 93612, 93618-9, 93653-7)
+93621
…with left atrial pacing and recording from coronary sinus or left atrium (Use 93621 in conjunction
with 93620, 93653-4) (Do not report 93621 in conjunction with 93656)
+93622
…with left ventricular pacing and recording (Use 93622 in conjunction with 93620, 93653, 93656)
(Do not report 93622 in conjunction with 93654)
+93623
Programmed stimulation and pacing after intravenous drug infusion (Use 93623 in conjunction
with 93610, 93612, 93619-20, 93653-4, 93656)
+93662
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging
supervision and interpretation (Use 93662 in conjunction with 92987, 93453, 93460-2, 93532,
93580-1, 93620-2, 93653-4, 93656 as appropriate)
93624
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy,
including induction or attempted induction of arrhythmia
Mapping is considered a distinct procedure performed in addition to a diagnostic EP study or ablation
procedure
+93609
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to
record from multiple sites to identify origin of tachycardia (Use 93609 in conjunction with 93620,
93653, 93656) (Do not report 93609 in conjunction with 93613, 93654)
+93613
Intracardiac electrophysiologic 3-dimensional mapping (Use 93613 in conjunction with 93620,
93653, 93656) (Do not report 93613 in conjunction with 93609, 93654)
The ablation procedure codes 93653, 93654 and 93656 are distinct primary procedure codes and may not be
reported together.
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INPATIENT
HOSPITAL CODING
Medicare Hospital Outpatient Catheter Ablation C-Code Listing
For CY 2015, Medicare requires that only a single appropriate device code is submitted on the claim for the procedure.
C1733 – Catheter, Electrophysiology, Diagnostic/Ablation, Other than 3D or Vector Mapping, Other than Cool Tip
Device
ICD-9-CM crosswalk to ICD-10-PCS Procedure Codes for discharges after September 30, 2015
1
2
Please note that there is not always a direct crosswalk from ICD-9-CM to ICD-10-PCS. It is up to the provider to select the appropriate
code(s) to represent the procedure(s) performed.
The following list is not all-inclusive.
ICD-9-CM1
Procedure
Code
37.26
37.27
37.34
ICD-9-CM1
Procedure Code
Description
ICD-10-PCS2
Procedure
Code
Catheter based invasive
4A023FZ
electrophysiologic testing
Cardiac mapping
02580ZZ*
Excision or destruction of
other lesion or tissue of
02583ZZ
heart, endovascular approach
ICD-10-PCS Procedure Code Description
2
Measurement of Cardiac Rhythm, Percutaneous Approach
Destruction of Conduction Mechanism, Open Approach
Destruction of Conduction Mechanism, Percutaneous Approach
Possible DRG Assignments (MS-DRG: Medicare Severity Diagnosis Related Group)
Brief MS-DRG Description
273
274
Percutaneous intracardiac procedures w/MCC
Percutaneous intracardiac procedures w/o MCC
CPT4 Code
Brief Description
93619
93620
93624
93650
93653
93654
93656
Electrophysiology evaluation
Electrophysiology evaluation
EP follow-up study
AV node ablation
SVT ablation and EP eval
VT ablation and EP eval
Ablation of AF by PVI with transseptal and EP evaluation
+93622
+93623
+93655
+93657
+93662
6 of 7
075302, 075305, 075312, 075402, 075405
5F RF Marinr
076514, 076515, 076583, 076584, 076585, 076586
RF Enhancr II
31744523, 31745523, 31745533, 39745533, 39746534
Freezor™ Cardiac CryoAblation Catheter
307F1, 307F3, 307F5
Freezor MAX Cardiac CryoAblation Catheter
239F3, 239F5
Arctic Front™ Cardiac CryoAblation Catheter
2AF232, 2AF282
Arctic Front Advance Cardiac CryoAblation Catheter
2AF234, 2AF284
Arctic Front Advance™ ST Cardiac CryoAblation Catheter
2AFAST23, 2AFAST28
™
™
™
C1766 – Introducer/Sheath, Guiding, Intracardiac Electrophysiological, Steerable, Other than Peel-Away
Device
Model Number
FlexCath Steerable Sheath
3FC10, 3FC12
FlexCath Advance Steerable Sheath
4FC12
Device
Model Number
Torqr CS Diagnostic Catheter
041565CS, 041590CS, 041865CS
Torqr,™ Soloist™ Diagnostic Catheter
041002JM, 041002UM, 041005DM, 041005JM, 041005UM, 04120DS,
04122JM, 04122UM, 04125JM, 04125UM, 441016JF, 441016U, 44216J,
44216JF, 44216U, 44516J, 44516JF, 44516U
Marinr™ CS
043302M, 043325M, 043328M
Marinr™
072302, 072322M, 072402
™
C-APC
C-APC Description
0085
Level II Electrophysiologic Procedures
0086
Level III Electrophysiologic Procedures
The following codes are not assigned to an APC as they are ancillary to the primary procedures. Medicare classifies the following codes with an “N”
Status Indicator and does not separately reimburse hospitals for these procedures. Hospitals should report all applicable codes, including those for
packaged services, according to correct coding principles.
+93621
RF Marinr™ MC
C1730 – Catheter, Electrophysiology, Diagnostic, Other than 3D Mapping (19 or Fewer Electrodes)
Comprehensive Ambulatory Payment Classifications (C-APCs):
+93613
0786022, 0786042, 0787533, 0787544, 07857544,
07856042, 07856044, 0786044, 0787544
™
OUTPATIENT
HOSPITAL CODING
+93609
70256034, 70257533
™
MCC: Major complication or comorbidity
+93462
RF Contactr
RF Conductr™ MC
™
*AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, Volume 1 Number 4, Fourth Quarter 2014.
MS-DRG
Model Number
™
Transseptal puncture (Use 93462 in conjunction with 93452-3, 93458-61, 93461, 93582-4) (Do not report 93642 in
conjunction with 93656)
Intraventricular and/or intra-atrial mapping (Use 93609 in conjunction with 93620, 93653, 93656) (Do not report
93609 in conjunction with 93613, 93654)
Intracardiac 3-dimensional mapping (Use 93613 in conjunction with 93620, 93653, 93656) (Do not report 93613 in
conjunction with 93609, 93654)
Comprehensive EP evaluation; with left atrial pacing and recording from coronary sinus or left atrium (Use 93621 in
conjunction with 93620, 93653-4) (Do not report 93621 in conjunction with 93656)
Comprehensive EP evaluation; with left ventricular pacing and recording (Use 93622 in conjunction with 93620,
93653, 93656) (Do not report 93622 in conjunction with 93654)
Programmed stimulation and pacing after intravenous drug infusion (Use 93623 in conjunction with 93610, 93612,
93619-20, 93653-4, 93656)
Additional ablation of discrete arrhythmia, SVT or VT (Use 93655 in conjunction with 93653-4, 93656)
Additional linear focal lesion for AF (Use 93657 in conjunction with 93656)
Intracardiac echocardiography (Use 93662 in conjunction with 92987, 93453, 93460-2, 93532, 93580-1, 93620-2,
93653-4, 93656 as appropriate) (Do not report 92961 in addition to 93662)
October 2015
Achieve Mapping Catheter
990063-015, 990063-020
™
C1731 – Catheter, Electrophysiology, Diagnostic, Other than 3D Mapping (20 or More Electrodes)
Device
StableMapr™
Model Number
04401SM, 04402SM
DIAGNOSIS CODES
ICD-9-CM1 crosswalk to ICD-10-CM3 Diagnosis Codes for discharges after September 30, 2015
Please note that there is not always a direct crosswalk from ICD-9-CM1 to ICD-10-CM.3 It is up to the provider to select the most
appropriate diagnosis code(s).
The following list is for illustrative purposes only and is not all-inclusive.
ICD-9-CM1
Diagnosis
Code
ICD-9-CM
Diagnosis Code Description
427.31
Atrial fibrillation
427.32
Atrial flutter
427.0
Paroxysmal supraventricular tachycardia
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1
ICD-10-CM3
Diagnosis
Code
ICD-10-CM3 Diagnosis Code
Description
I48.0
I48.3
I48.4
I48.92
I47.1
Paroxysmal atrial fibrillation
Typical atrial flutter (type I)
Atypical atrial flutter (type II)
Unspecified atrial flutter
Supraventricular tachycardia (includes AVNRT)
October 2015