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Home/Diagnosis/ICD-10 Coding for Bifascicular Block

ICD-10 Coding for Bifascicular Block

I45.2

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

Also Known as:
Bilateral Bundle Branch Block
RBBB with Left Fascicular Block
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Key Information: ICD-10 Coding for Bifascicular Block

Essential facts and insights about ICD-10 Coding for Bifascicular Block

Use ICD-10 code I45.2 for bifascicular block, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Bifascicular block

Billable Code
I45.2
Billable

Diagnostic Criteria

clinical:
  • • ECG shows RBBB with either LAFB or LPFB.
documentation:
  • • Provider uses the term 'bifascicular block'.
coding:
  • • Avoid using I45.2 if only RBBB or LAFB is documented without the term 'bifascicular block'.

Applicable To

  • • RBBB with left anterior fascicular block
  • • RBBB with left posterior fascicular block

Important Notes

  • • Ensure documentation explicitly states 'bifascicular block' and includes ECG findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

R55

Syncope

Use when syncope is present and linked to the bifascicular block.

Z95.0

Presence of cardiac pacemaker

Use post-pacemaker implantation due to bifascicular block.

Frequently Asked Questions

What is the ICD-10 code for bifascicular block?

The ICD-10 code for bifascicular block is I45.2. It is used when both right bundle branch block and either left anterior or posterior fascicular block are present.

How is bifascicular block documented?

Bifascicular block should be documented with explicit mention of the term and supported by ECG findings showing RBBB with either LAFB or LPFB.

Can bifascicular block be coded without symptoms?

Yes, bifascicular block can be coded without symptoms if the ECG findings and provider documentation confirm the diagnosis.

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