Sick sinus syndrome (SSS, tachy-brady syndrome)

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ICD10 Diagnosis
Dx: Sick sinus syndrome (SSS, tachy-brady syndrome)
ICD10 code: I49.5
Pre-ICD10 counterpart: Bradyarrythmias
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: 2019-0: Rhythm Disturbance
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • I49.5
  • Cargo


  • Categories
  • SMW
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  • Categories
  • SMW
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Additional Info

Sick sinus syndrome (SSS), also called sinus dysfunction, or sinoatrial node disease ("SND"), is a group of abnormal heart rhythms (arrhythmias) presumably caused by a malfunction of the sinus node, the heart's primary pacemaker. Tachycardia-bradycardia syndrome is a variant of sick sinus syndrome in which the arrhythmia alternates between slow and fast heart rates. Tachycardia-bradycardia syndrome is often associated with Category:Ischemic heart disease and Category:heart valve disease.

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.

Example:   
  • A person has a self-limited episode of A-fib. It goes away and then recurs. Only code the first one.
  • A person has a self-limited episode of A-fib. It goes away but then he has an episode of V-tach. As this is a different diagnosis, both of these should be listed, but only code once each.
  • Patient comes in with hypokalemia. It’s treated and remits, but the next day it recurs. Only code the first time.

Alternate ICD10s to consider coding instead or in addition

Ischemic heart disease codes:
heart valve disease codes:
Arrhythmia codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related Articles

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