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Home/Diagnosis/ICD-10 Coding for Atrial Fibrillation and Flutter

ICD-10 Coding for Atrial Fibrillation and Flutter

I48.0
I48.11
I48.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for atrial fibrillation and flutter includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
AFAFL
Atrial Fib
Atrial Flutter
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Key Information: ICD-10 Coding for Atrial Fibrillation and Flutter

Essential facts and insights about ICD-10 Coding for Atrial Fibrillation and Flutter

Use ICD-10 code I48.0 for paroxysmal atrial fibrillation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Paroxysmal atrial fibrillation

Billable Code
I48.0
Billable

Diagnostic Criteria

clinical:
  • AF episodes resolve within 7 days

Applicable To

  • • Self-terminating AF episodes

Important Notes

  • • Ensure documentation specifies 'paroxysmal' to avoid unspecified coding.

Persistent atrial fibrillation

Billable Code
I48.11
Billable

Diagnostic Criteria

clinical:
  • AF persists beyond 7 days and requires intervention

Applicable To

  • • AF requiring cardioversion

Important Notes

  • • Persistent AF should be clearly documented to avoid confusion with permanent AF.

Permanent atrial fibrillation

Billable Code
I48.21
Billable

Diagnostic Criteria

clinical:
  • AF is deemed permanent and no rhythm control is planned

Applicable To

  • • AF with no further rhythm control attempts

Important Notes

  • • Ensure documentation specifies 'permanent' to avoid unspecified coding.

Typical atrial flutter

Billable Code
I48.3
Billable

Diagnostic Criteria

clinical:
  • Typical AFL is confirmed by ECG

Applicable To

  • • Type I AFL

Important Notes

  • • Ensure ECG documentation supports typical AFL diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.02

Long term (current) use of anticoagulants

Use to indicate anticoagulation therapy status.

Z95.810

Presence of AFL device

Use to indicate device status.

Frequently Asked Questions

What is the ICD-10 code for paroxysmal atrial fibrillation?

The ICD-10 code for paroxysmal atrial fibrillation is I48.0, used when AF episodes resolve spontaneously within 7 days.

Can atrial fibrillation and flutter be coded together?

Yes, both atrial fibrillation and flutter can be coded together if both are documented and impact patient care.

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