2018/2019 ICD-10-CM Codes I47*: Paroxysmal tachycardia


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2018/2019

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  1. ICD-10-CM Codes
  2. P00-P96
    Certain conditions originating in the perinatal period
  3. P19-P29
    Respiratory and cardiovascular disorders specific to the perinatal period
  4. P29-
    Cardiovascular disorders originating in the perinatal period

2018/2019 ICD-10-CM Diagnosis Code P29.11


Neonatal tachycardia

    2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
  • P29.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2018/2019 edition of ICD-10-CM P29.11 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of P29.11 – other international versions of ICD-10 P29.11 may differ.

ICD-10-CM Coding Rules

  • P29.11 should be used on the newborn record – not on the maternal record.
The following code(s) above P29.11 contain annotation back-references

Annotation Back-References
In this context, annotation back-references refer to codes that contain:

  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations

that may be applicable to P29.11:

  • P00-P96
    2019 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes

    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note

    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes

    • congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99 )
    • endocrine, nutritional and metabolic diseases ( E00 – E88 )
    • injury, poisoning and certain other consequences of external causes ( S00-T88 )
    • neoplasms ( C00-D49 )
    • tetanus neonatorum ( A33 )

    Certain conditions originating in the perinatal period

  • P29
    ICD-10-CM Diagnosis Code P29

    Cardiovascular disorders originating in the perinatal period

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes

    • congenital malformations of the circulatory system ( Q20-Q28 )

    Cardiovascular disorders originating in the perinatal period

ICD-10-CM P29.11 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

  • 794 Neonate with other significant problems

Convert P29.11 to ICD-9-CM

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to P29.11:
  • Type 1 Excludes: R00.0

    ICD-10-CM Diagnosis Code R00.0

    Tachycardia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To

    • Rapid heart beat
    • Sinoauricular tachycardia NOS
    • Sinus [sinusal] tachycardia NOS
    Type 1 Excludes

    • neonatal tachycardia ( P29.11 )
    • paroxysmal tachycardia ( I47.- )

Diagnosis Index entries containing back-references to P29.11:
  • Arrhythmia (auricle)(cardiac)(juvenile)(nodal) (reflex)(sinus)(supraventricular)(transitory)(ventricle) I49.9
    ICD-10-CM Diagnosis Code I49.9

    Cardiac arrhythmia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To

    • Arrhythmia (cardiac) NOS

    • newborn
      • tachycardia P29.11
  • Dysrhythmia
    • cardiac I49.9
      ICD-10-CM Diagnosis Code I49.9

      Cardiac arrhythmia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To

      • Arrhythmia (cardiac) NOS

      • newborn
        • tachycardia P29.11
  • Neonatal – see also Newborn
    • tachycardia P29.11
  • Newborn (infant) (liveborn) (singleton) Z38.2
    ICD-10-CM Diagnosis Code Z38.2

    Single liveborn infant, unspecified as to place of birth

      2016 2017 2018 2019 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To

    • Single liveborn infant NOS

    • affected by
      • heart rate abnormalities
        • tachycardia P29.11
  • Tachycardia R00.0
    ICD-10-CM Diagnosis Code R00.0

    Tachycardia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To

    • Rapid heart beat
    • Sinoauricular tachycardia NOS
    • Sinus [sinusal] tachycardia NOS
    Type 1 Excludes

    • neonatal tachycardia ( P29.11 )
    • paroxysmal tachycardia ( I47.- )

    • newborn P29.11
ICD-10-CM Codes Adjacent To P29.11


P28.3 Primary sleep apnea of newborn


P28.4 Other apnea of newborn


P28.5 Respiratory failure of newborn


P28.8 Other specified respiratory conditions of newborn



P28.81 Respiratory arrest of newborn



P28.89 Other specified respiratory conditions of newborn


P28.9 Respiratory condition of newborn, unspecified

P29 Cardiovascular disorders originating in the perinatal period


P29.0 Neonatal cardiac failure


P29.1 Neonatal cardiac dysrhythmia




P29.11
Neonatal tachycardia



P29.12 Neonatal bradycardia


P29.2 Neonatal hypertension


P29.3 Persistent fetal circulation



P29.30 Pulmonary hypertension of newborn



P29.38 Other persistent fetal circulation


P29.4 Transient myocardial ischemia in newborn


P29.8 Other cardiovascular disorders originating in the perinatal period



P29.81 Cardiac arrest of newborn



P29.89 Other cardiovascular disorders originating in the perinatal period


P29.9 Cardiovascular disorder originating in the perinatal period, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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2018/2019

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    • Use Additional Crosswalk
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  1. ICD-10-CM Codes
  2. I00-I99
    Diseases of the circulatory system
  3. I30-I52
    Other forms of heart disease
  4. I47-
    Paroxysmal tachycardia

2018/2019 ICD-10-CM Diagnosis Code I47.1


Supraventricular tachycardia

    2016 2017 2018 2019 Billable/Specific Code
  • I47.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2018/2019 edition of ICD-10-CM I47.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of I47.1 – other international versions of ICD-10 I47.1 may differ.

Applicable To

  • Atrial (paroxysmal) tachycardia
  • Atrioventricular [AV] (paroxysmal) tachycardia
  • Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
  • Junctional (paroxysmal) tachycardia
  • Nodal (paroxysmal) tachycardia
The following code(s) above I47.1 contain annotation back-references

Annotation Back-References
In this context, annotation back-references refer to codes that contain:

  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations

that may be applicable to I47.1:

  • I00-I99
    2019 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes

    • certain conditions originating in the perinatal period ( P04 – P96 )
    • certain infectious and parasitic diseases ( A00-B99 )
    • complications of pregnancy, childbirth and the puerperium ( O00-O9A )
    • congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99 )
    • endocrine, nutritional and metabolic diseases ( E00 – E88 )
    • injury, poisoning and certain other consequences of external causes ( S00-T88 )
    • neoplasms ( C00-D49 )
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 – R94 )
    • systemic connective tissue disorders ( M30-M36 )
    • transient cerebral ischemic attacks and related syndromes ( G45.- )

    Diseases of the circulatory system

  • I47
    ICD-10-CM Diagnosis Code I47

    Paroxysmal tachycardia

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First

    • tachycardia complicating:
    • abortion or ectopic or molar pregnancy ( O00 – O07 , O08.8 )
    • obstetric surgery and procedures ( O75.4 )
    Type 1 Excludes

    • tachycardia NOS ( R00.0 )
    • sinoauricular tachycardia NOS ( R00.0 )
    • sinus [sinusal] tachycardia NOS ( R00.0 )

    Paroxysmal tachycardia

Approximate Synonyms

  • Atrial paroxysmal tachycardia
  • Atrial tachycardia
  • Atrioventricular (av) tachycardia (fast heart beat)
  • Av junctional paroxysmal rapid heart rate
  • Ectopic atrial tachycardia
  • Ectopic atrial tachycardia (heart rhythm disorder)
  • His bundle tachycardia
  • Junctional ectopic tachycardia (fast heart beat)
  • Junctional ectopic tachycardia, postoperative
  • Multifocal atrial tachycardia
  • Multifocal atrial tachycardia (heart beat disorder)
  • Nonsustained paroxysmal supraventricular tachycardia
  • Paroxysmal atrial tachycardia (heart beat disorder)
  • Paroxysmal junctional tachycardia
  • Paroxysmal supraventricular tachycardia
  • Postoperative his bundle tachycardia
  • Re-entrant atrioventricular tachycardia
  • Supraventricular tachycardia following old myocardial infarction
  • Supraventricular tachycardia post old mi
  • Supraventricular tachycardia, nonsustained

Clinical Information

  • A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates above the ventricles.
  • A disorder characterized by a dysrhythmia with abrupt onset and sudden termination of atrial contractions with a rate of 150-250 beats per minute. The rhythm disturbance originates in the atria.
  • A generic expression for any tachycardia that originates above the bundle of his.
  • A generic expression for any tachycardia that originates in the atria or the atrioventricular node.
  • An episodic form of atrial tachycardia, with abrupt onset and termination.
  • Periods of very rapid heart beats that begin and end abruptly
  • Tachyarrhythmia originating either from the atria or the atrioventricular node.

ICD-10-CM I47.1 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

  • 308 Cardiac arrhythmia and conduction disorders with mcc
  • 309 Cardiac arrhythmia and conduction disorders with cc
  • 310 Cardiac arrhythmia and conduction disorders without cc/mcc

Convert I47.1 to ICD-9-CM

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to I47.1:
  • AVNRT I47.1 (atrioventricular nodal re-entrant tachycardia)
  • AVRT I47.1 (atrioventricular nodal re-entrant tachycardia)
  • PAT I47.1 (paroxysmal atrial tachycardia)
  • Sinus – see also Fistula
    • tachycardia R00.0
      ICD-10-CM Diagnosis Code R00.0

      Tachycardia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To

      • Rapid heart beat
      • Sinoauricular tachycardia NOS
      • Sinus [sinusal] tachycardia NOS
      Type 1 Excludes

      • neonatal tachycardia ( P29.11 )
      • paroxysmal tachycardia ( I47.- )

      • paroxysmal I47.1
  • Tachycardia R00.0
    ICD-10-CM Diagnosis Code R00.0

    Tachycardia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To

    • Rapid heart beat
    • Sinoauricular tachycardia NOS
    • Sinus [sinusal] tachycardia NOS
    Type 1 Excludes

    • neonatal tachycardia ( P29.11 )
    • paroxysmal tachycardia ( I47.- )

    • paroxysmal (sustained) (nonsustained) I47.9
      ICD-10-CM Diagnosis Code I47.9

      Paroxysmal tachycardia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To

      • Bouveret (-Hoffman) syndrome

      • atrioventricular (AV) (re-entrant) I47.1
      • junctional I47.1
        • ectopic I47.1
      • supraventricular (sustained) I47.1
      • atrial I47.1 (PAT)
      • nodal I47.1
    • sinoauricular NOS R00.0
      ICD-10-CM Diagnosis Code R00.0

      Tachycardia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To

      • Rapid heart beat
      • Sinoauricular tachycardia NOS
      • Sinus [sinusal] tachycardia NOS
      Type 1 Excludes

      • neonatal tachycardia ( P29.11 )
      • paroxysmal tachycardia ( I47.- )

      • paroxysmal I47.1
    • sinus [sinusal] NOS R00.0
      ICD-10-CM Diagnosis Code R00.0

      Tachycardia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To

      • Rapid heart beat
      • Sinoauricular tachycardia NOS
      • Sinus [sinusal] tachycardia NOS
      Type 1 Excludes

      • neonatal tachycardia ( P29.11 )
      • paroxysmal tachycardia ( I47.- )

      • paroxysmal I47.1
    • atrial I47.1 (paroxysmal)
    • auricular I47.1
    • AV nodal re-entry I47.1 (re-entrant)
    • junctional I47.1 (paroxysmal)
    • nodal I47.1 (paroxysmal)
    • supraventricular I47.1
ICD-10-CM Codes Adjacent To I47.1


I45.8 Other specified conduction disorders



I45.81 Long QT syndrome



I45.89 Other specified conduction disorders


I45.9 Conduction disorder, unspecified

I46 Cardiac arrest


I46.2 Cardiac arrest due to underlying cardiac condition


I46.8 Cardiac arrest due to other underlying condition


I46.9 Cardiac arrest, cause unspecified

I47 Paroxysmal tachycardia


I47.0 Re-entry ventricular arrhythmia



I47.1
Supraventricular tachycardia


I47.2 Ventricular tachycardia


I47.9 Paroxysmal tachycardia, unspecified

I48 Atrial fibrillation and flutter


I48.0 Paroxysmal atrial fibrillation


I48.1 Persistent atrial fibrillation


I48.2 Chronic atrial fibrillation


I48.3 Typical atrial flutter


I48.4 Atypical atrial flutter


I48.9 Unspecified atrial fibrillation and atrial flutter



I48.91 Unspecified atrial fibrillation

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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