Find comprehensive information on Paroxysmal Atrial Flutter diagnosis, including clinical documentation tips, ICD-10 codes (I48.4), medical coding guidelines, and healthcare resources. Learn about symptoms, treatment options, and best practices for accurate electrocardiogram (ECG/EKG) interpretation related to Paroxysmal Atrial Flutter. This resource offers valuable insights for physicians, coders, and other healthcare professionals seeking accurate and efficient documentation and coding for this cardiac arrhythmia.
Also known as
Atrial fibrillation and flutter
Includes various types of atrial fibrillation and atrial flutter.
Paroxysmal supraventricular tachycardia
Covers episodes of rapid heart rate originating above the ventricles.
Other cardiac arrhythmias
Includes arrhythmias not classified elsewhere, potentially relevant in some cases.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the atrial flutter typical (counterclockwise)?
Yes
Is it specified as recurrent?
No
Is it atypical (clockwise, other)?
When to use each related code
| Description |
|---|
| Paroxysmal Atrial Flutter |
| Atrial Fibrillation |
| Atrial Tachycardia |
Coding atrial flutter without specifying typical (I48.0) or atypical (I48.1) leads to inaccurate reporting and potential denials. CDI should clarify documentation.
Failing to code associated conditions like hypertension or heart failure with atrial flutter underrepresents patient complexity impacting reimbursement and quality metrics.
Incorrect coding of procedures like cardioversion or ablation related to atrial flutter can lead to compliance issues and financial penalties. Accurate documentation is crucial.
Patient presents with complaints consistent with paroxysmal atrial flutter (PAF). Symptoms include palpitations, shortness of breath, and occasional lightheadedness. Onset of symptoms is intermittent and self-resolving, typically lasting from a few minutes to several hours. Electrocardiogram (ECG, EKG) obtained during a symptomatic episode reveals a characteristic sawtooth pattern indicative of atrial flutter, with an atrial rate of approximately 300 beats per minute and a variable ventricular response rate. Between episodes, the patient's ECG returns to normal sinus rhythm. Patient denies chest pain, syncope, or history of atrial fibrillation. Cardiac risk factors include hypertension, controlled with medication. No prior history of stroke, transient ischemic attack (TIA), or thromboembolism. Assessment: Paroxysmal atrial flutter. Plan: Initiate rate control therapy with beta-blocker medication. Echocardiogram ordered to assess cardiac function and structure. Patient education provided regarding symptoms, medication management, and potential complications. Discussed risks and benefits of anticoagulation therapy given CHADS2-VASc score and patient preferences. Follow-up scheduled in two weeks to reassess symptoms and medication efficacy. Differential diagnosis includes sinus tachycardia, atrial fibrillation, and supraventricular tachycardia (SVT). ICD-10 code I48.4 specified.