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Palpitations are defined as rapid pulsations or abnormally rapid or irregular beating of the heart. They are often described as the perception of a skipped beat, rapid fluttering in the chest, pounding sensation in the chest or neck, or a flip-flopping in the chest.
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ICD-10 Codes for Palpitation | Cardiac Arrhythmias | Abnormalities of Heart Rhythm | Rapid heart beat

ICD-10 Codes for Palpitation / Cardiac Arrhythmias / Abnormalities of Heart Rhythm / Rapid heart beat

Table of Contents

Palpitations are defined as rapid pulsations or abnormally rapid or irregular beating of the heart. They are often described as the perception of a skipped beat, rapid fluttering in the chest, pounding sensation in the chest or neck, or a flip-flopping in the chest. Palpitations are common, nonspecific and can be a symptom or a diagnosis. While the cause of palpitations is usually benign, there are underlying life-threatening conditions that may present with palpitations.

DIAGNOSIS AND TREATMENT

Cardiac disorders are a common cause of palpitations, and this possibility generates the most concern among clinicians. Cardiac causes of palpitations include:

Cardiac arrhythmias, including the development of a new arrhythmia or a significant change in the rate of a previously stable arrhythmia (such as atrial fibrillation). Cardiac arrhythmias may develop due to underlying structural heart disease (eg, cardiomyopathy, previous myocardial infarction) or identifiable conduction system abnormality (eg, long QT syndrome, Wolf-Parkinson-White syndrome, complete heart block), or they may be idiopathic. Arrhythmias causing palpitations include tachyarrhythmias, bradyarrhythmias, and ectopic beats. Other less common cardiac causes include valvular heart disease (eg, mitral valve prolapse), pacemaker syndrome (ie, atrioventricular dyssynchrony due to single chamber [ventricular] pacing), atrial myxoma, and high-output cardiac states. (paragraph) A 12-lead electrocardiogram must be performed on every patient complaining of palpitations. The presence of a short PR interval and a delta wave (Wolff-Parkinson-White syndrome) is an indication of the existence of ventricular pre-excitation. Significant left ventricular hypertrophy with deep septal Q waves in I, L, and V4 through V6 may indicate hypertrophic obstructive cardiomyopathy. The presence of Q waves may indicate a prior myocardial infarction as the etiology of the palpitations, and a prolonged QT interval may indicate the presence of the long QT syndrome.

ICD-10 CODES FOR PALPITATION | CARDIAC ARRHYTHMIAS | ABNORMALITIES OF HEART RHYTHM | RAPID HEART BEAT

Codes Code Description
I49.1 Atrial premature depolarization
I49.5 Sick sinus syndrome
I49.9 Cardiac arrhythmia, unspecified
I49.02 Ventricular flutter
I49.2 Junctional premature depolarization
I49.3 Ventricular premature depolarization
I49.40 Unspecified premature depolarization
I49.49 Other premature depolarization
I49.8 Other specified cardiac arrhythmias
R00.0 Tachycardia, unspecified
R00.1 Bradycardia, unspecified
R00.2 Palpitations
R00.8 Other abnormalities of heart beat
R00.9 Unspecified abnormalities of heart beat
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