AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor

Sinus Bradycardia with Premature Ventricular Contractions

A patient presented with palpitations and presyncopal symptoms, which he experienced while going from a sitting to standing position. The provider diagnosed sinus bradycardia and multiple premature ventricular contractions. Code I49.3, Ventricular premature depolarization, cannot be assigned with code R00.1, Bradycardia, unspecified, based on the Excludes1 note at category I49-, Other cardiac arrhythmias. However, there is an Excludes 2 note at category R00-, Abnormalities of heart beat, which allows the reporting of codes in that category with specified arrhythmias (I47-I49). Should codes for sinus bradycardia and premature ventricular contractions be assigned together? ...

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