AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Chronic Atrial Fibrillation with Rapid Ventricular Response

A patient is admitted for treatment of chronic atrial fibrillation (AF) with rapid ventricular response (RVR). The classification provides codes that describe paroxysmal, chronic, and persistent atrial fibrillation, but not atrial fibrillation with rapid ventricular response. A diagnosis of chronic AF with RVR seems to indicate severity. Would it be appropriate to assign code I48.0, Paroxysmal atrial fibrillation, for AF with RVR? If not, what code should be assigned to reflect chronic atrial fibrillation with RVR? ...

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