Ventricular fibrillation

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ICD10 Diagnosis
Dx: Ventricular fibrillation
ICD10 code: I49.0
Pre-ICD10 counterpart: Tachyarrythmias
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: Rhythm Disturbance
External ICD10 Documentation
This diagnosis is a part of ICD10 collection.

Additional Info

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, 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.
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Code this even if it is not being treated.

For ICU

  • Receiving Tx with at least one of
    • defibrillation/cardioversion
    • continuous antiarrythmics infusion
  • bolus Tx does not qualify in Critical Care

For Medicine

(changed 1 Jun 09)

  • new onset with:
    • EKG/Rhythm strip showing tachyarrythmia
    • and receiving drug or electronic treatment for the new onset

Alternate ICD10s to consider coding instead or in addition

Arrhythmia codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (SMW)

none found

Related Articles

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