Atrioventricular and left bundle-branch block
In Other forms of heart disease (I30-I5A), chapter 9: Diseases of the Circulatory System
10 billable codes under I44: 1 is a CC; 1 map to HCC 238 (Specified Heart Arrhythmias).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.
- Hypertension (page 50)
- Atherosclerotic Coronary Artery Disease and Angina (page 52)
- Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
- Sequelae of Cerebrovascular Disease (page 53)
- Acute myocardial infarction (AMI) (page 54)
All codes under I44
I44 can't be used on a claim. Pick a billable code below; grey headings group them.
- I44.0Atrioventricular block, first degree
- I44.1Atrioventricular block, second degree
- I44.2Atrioventricular block, complete
- I44.3Other and unspecified atrioventricular block
- I44.30Unspecified atrioventricular block
- I44.39Other atrioventricular block
- I44.4Left anterior fascicular block
- I44.5Left posterior fascicular block
- I44.6Other and unspecified fascicular block
- I44.60Unspecified fascicular block
- I44.69Other fascicular block
- I44.7Left bundle-branch block, unspecified
I44 MS-DRGs
As the principal diagnosis, the billable codes under I44 group to MS-DRG 308, 309, 310, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 308 Cardiac Arrhythmia and Conduction Disorders with MCC (10 of 10 codes)
- DRG 309 Cardiac Arrhythmia and Conduction Disorders with CC (10 of 10 codes)
- DRG 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC (10 of 10 codes)
- DRG 791 Prematurity with Major Problems (1 of 10 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 10 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Arrhythmia
An arrhythmia is a problem with the rate or rhythm of your heartbeat. Your heart beats too quickly, too slowly, or with an irregular pattern. Changes in the electrical signals that control your heartbeat cause arrhythmias.
Read more about arrhythmia on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
