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ICD-10-CM Code I49.1
Atrial premature depolarization

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

I49.1 is a billable ICD code used to specify a diagnosis of atrial premature depolarization. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code I491 is used to code Premature atrial contraction

Premature atrial contractions (PACs), also known as atrial premature complexes (APC) or atrial premature beats (APB), are a common cardiac dysrhythmia characterized by premature heartbeats originating in the atria. While the sinoatrial node typically regulates the heartbeat during normal sinus rhythm, PACs occur when another region of the atria depolarizes before the sinoatrial node and thus triggers a premature heartbeat.The exact cause of PACs is unclear; while several predisposing conditions exist, PACs commonly occur in healthy young and elderly people without heart disease, and by themselves are not considered an abnormal finding. PACs are often completely asymptomatic and may be noted only with Holter monitoring, but occasionally they can be perceived as a skipped beat or a jolt in the chest. In most cases, no treatment other than reassurance is needed for PACs, although medications such as beta blockers can reduce the frequency of symptomatic PACs.

Specialty: Cardiology
MeSH Code: D018880
ICD 9 Code: 427.61

Two PACs as seen on a rhythm strip

Source: Wikipedia

Coding Notes for I49.1 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Atrial premature beats

MS-DRG Mapping

  • DRG Group #308-310 - Cardiac arrhythmia and conduction disorders with MCC.
  • DRG Group #308-310 - Cardiac arrhythmia and conduction disorders with CC.
  • DRG Group #308-310 - Cardiac arrhythmia and conduction disorders without CC or MCC.

Related Concepts SNOMET-CT

  • Multifocal atrial tachycardia (disorder)

Coding Advice SNOMET-CT

  • Consider additional code to identify specific condition or disease

ICD-10-CM Alphabetical Index References for 'I49.1 - Atrial premature depolarization'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I49.1. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Supraventricular premature beats (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 427.61 was previously used, I49.1 is the appropriate modern ICD10 code.


Parent Code: I49 - Other cardiac arrhythmias

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/I491