ICD Code I45.10

ICD code I45.10 is used to identify an unspecified right bundle-branch block, which is a condition where there is a delay or obstruction along the pathway that electrical impulses travel to make the heart beat, specifically affecting the right bundle branch. This code is utilized in medical documentation and billing to classify and report this particular cardiac conduction disorder.

1. Presence of Conduction Delay: The patient exhibits a delay in the electrical conduction system of the heart, specifically affecting the right bundle branch.

2. Electrocardiogram (ECG) Findings: The ECG shows a QRS complex duration of 120 milliseconds or more, indicating a delay in the right ventricular depolarization.

3. Absence of Specific Etiology: There is no identifiable underlying cause or specific condition that can be attributed to the conduction delay, such as structural heart disease or myocardial infarction.

4. Lack of Symptoms: The patient may be asymptomatic, with the conduction delay being an incidental finding during routine cardiac evaluation.

5. Exclusion of Other Cardiac Conditions: Other potential cardiac conditions, such as left bundle-branch block or bifascicular block, have been ruled out through diagnostic testing.

6. Clinical Evaluation: A thorough clinical evaluation has been conducted, including patient history and physical examination, to confirm the absence of specific symptoms or conditions that could explain the conduction delay.

7. Monitoring and Follow-Up: The patient may require regular monitoring and follow-up to ensure that the conduction delay does not progress or lead to other cardiac complications.

For the ICD code I45.10 (Unspecified right bundle-branch block), the relevant CPT codes that may be applicable for treatment or diagnostic purposes include:

1. 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

2. 93005 - Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report.

3. 93010 - Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

4. 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation.

5. 93225 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection).

6. 93226 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report.

7. 93227 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; physician review and interpretation.

These CPT codes are commonly used for diagnostic procedures that may be relevant when addressing conditions associated with the ICD code I45.10. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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