ICD10BillableValid for clinical use
ICD-10 Code I49.9: Cardiac arrhythmia, unspecified
Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026
What is this code?
ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the circulatory system (I00-I99).
When is it used?
- May be used when a clinician documents cardiac arrhythmia, unspecified in a patient's medical record.
- May appear in hospital records, claims, referrals, and clinical documentation.
- This code can be used as a clinically usable diagnosis entry in standardized coding workflows.
What it does not mean
- A code alone does not explain severity, treatment plan, or outcome.
- A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
Code hierarchy
chapter
9Diseases of the circulatory system (I00-I99)
block
I30-I5AOther forms of heart disease
category
I49Other cardiac arrhythmias
currentI49
Official coding notes
Inclusion terms
- Arrhythmia (cardiac) NOS
Where you may see this code
You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.
Related specialists
CardiologistGeneral Physician
Related codes
I49.0Ventricular fibrillation and fluttercategoryI49.1Atrial premature depolarizationcodeI49.2Junctional premature depolarizationcodeI49.3Ventricular premature depolarizationcodeI49.4Other and unspecified premature depolarizationcategoryI49.5Sick sinus syndromecodeI49.8Other specified cardiac arrhythmiascode
Sibling codes
I49.0Ventricular fibrillation and flutterI49.1Atrial premature depolarizationbillableI49.2Junctional premature depolarizationbillableI49.3Ventricular premature depolarizationbillableI49.4Other and unspecified premature depolarizationI49.5Sick sinus syndromebillableI49.8Other specified cardiac arrhythmiasbillable
Coverage-related procedures and services
CPT 78483high
CARDIAC BLOOD POOL IMAGING (PLANAR), FIRST PASS TECHNIQUE; MULTIPLE STUDIES, AT REST AND WITH STRESS (EXERCISE AND/OR PHARMACOLOGIC), WALL MOTION STUDY PLUS EJECTION FRACTION, WITH OR WITHOUT QUANTIFICATION
Source: CMS coverage guidance
CPT 78481high
CARDIAC BLOOD POOL IMAGING (PLANAR), FIRST PASS TECHNIQUE; SINGLE STUDY, AT REST OR WITH STRESS (EXERCISE AND/OR PHARMACOLOGIC), WALL MOTION STUDY PLUS EJECTION FRACTION, WITH OR WITHOUT QUANTIFICATION
Source: CMS coverage guidance
CPT 78496high
CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SINGLE STUDY, AT REST, WITH RIGHT VENTRICULAR EJECTION FRACTION BY FIRST PASS TECHNIQUE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Source: CMS coverage guidance
CPT 78494high
CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SPECT, AT REST, WALL MOTION STUDY PLUS EJECTION FRACTION, WITH OR WITHOUT QUANTITATIVE PROCESSING
Source: CMS coverage guidance
CPT 78473high
CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES, WALL MOTION STUDY PLUS EJECTION FRACTION, AT REST AND STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH OR WITHOUT ADDITIONAL QUANTIFICATION
Source: CMS coverage guidance
CPT 78472high
CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; PLANAR, SINGLE STUDY AT REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC), WALL MOTION STUDY PLUS EJECTION FRACTION, WITH OR WITHOUT ADDITIONAL QUANTITATIVE PROCESSING
Source: CMS coverage guidance
Mapped diagnoses and classifications
SNOMED_CT 472810005high
Arrhythmia due to vegetation of infective endocarditis
Source: SNOMED International ICD-10 map
SNOMED_CT 10701000087104high
Arrhythmia during surgery
Source: SNOMED International ICD-10 map
SNOMED_CT 698247007high
Cardiac arrhythmia
Source: SNOMED International ICD-10 map
SNOMED_CT 1204124006high
Cardiac arrhythmia due to coronary artery spasm
Source: SNOMED International ICD-10 map
SNOMED_CT 251185006high
Escape beat
Source: SNOMED International ICD-10 map
SNOMED_CT 248651005high
Heart irregularly irregular
Source: SNOMED International ICD-10 map
Coding guidelines
Compatibility
Legacy and official ICD code match exactly.
Legacy codes
I49.9
Common synonyms
Cardiac arrhythmia, unspecifiedCardiac arrhythmia
Frequently asked questions
About this content
This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.