Back to HomeBeta

ICD-10 Coding for Ventricular Premature Beats(I49.3, I49.40, I49.49)

Complete ICD-10-CM coding and documentation guide for Ventricular Premature Beats. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ventricular Premature DepolarizationsPremature Ventricular ContractionsVentricular Ectopy

Quick Navigation

Related ICD-10 Code Ranges

Complete code families applicable to Ventricular Premature Beats

I49.3-I49.49Primary Range

Other cardiac arrhythmias

This range includes codes for ventricular premature beats and related arrhythmias.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I49.3Ventricular premature depolarizationUse when ventricular origin is confirmed via ECG.
  • ECG showing wide QRS (>120ms), no preceding P wave, full compensatory pause
I49.40Unspecified premature depolarizationUse when type is unspecified after cardiology consultation.
  • General documentation of premature beats without specific localization
I49.49Other specified premature depolarizationUse for specialized types confirmed by ECG.
  • ECG showing multifocal VPBs or R-on-T phenomenon

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for ventricular premature beats

Essential facts and insights about Ventricular Premature Beats

The ICD-10 code for ventricular premature beats is I49.3, used when the ventricular origin is confirmed via ECG.

Primary ICD-10-CM Codes for ventricular premature beats

I49.3
Ventricular premature depolarization
Billable Code

Decision Criteria

clinical Criteria

  • ECG confirmation of ventricular origin

documentation Criteria

  • Specific mention of 'ventricular premature depolarizations'

Applicable To

  • Ventricular premature beats
  • Ventricular ectopy

Excludes

  • Atrial premature depolarization (I49.1)

Clinical Validation Requirements

  • ECG showing wide QRS (>120ms), no preceding P wave, full compensatory pause

Code-Specific Risks

  • Confusion with atrial premature beats
  • Incorrect sequencing with underlying conditions

Coding Notes

  • Ensure documentation specifies ventricular origin.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Ventricular tachycardia

I47.2
Use when there are ≥3 consecutive VPBs.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Atrial premature depolarization

I49.1
Presence of P wave before QRS complex.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ventricular Premature Beats to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I49.3.

Impact

Clinical: Misdiagnosis of arrhythmia type., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always include ECG results in documentation, Verify arrhythmia type before coding

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation specifies ventricular origin.

Impact

Inaccurate documentation can lead to coding errors.

Mitigation Strategy

Ensure detailed ECG findings are documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Ventricular Premature Beats, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Ventricular Premature Beats

Use these documentation templates to ensure complete and accurate documentation for Ventricular Premature Beats. These templates include all required elements for proper coding and billing.

Cardiology Progress Note

Specialty: Cardiology

Required Elements

  • ECG findings
  • Symptoms
  • Underlying conditions

Example Documentation

Cardiac Rhythm: Ventricular bigeminy with origin from RVOT. Burden: 18% on 24h Holter. Symptoms: Palpitations correlate with VPBs on rhythm strip.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has irregular heartbeat - PVCs noted.
Good Documentation Example
12-lead ECG demonstrates frequent monomorphic ventricular premature depolarizations with QRS duration 140ms.
Explanation
The good example provides specific ECG findings and terminology.

Need help with ICD-10 coding for Ventricular Premature Beats? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more

Helpful Links

How ICD 10 AI Lookup WorksContact UsPrivacy Policy