I48.0 is not correct. There is a coding clinic on this .....
The correct code is chronic Afib I48.2.
A patient is admitted for treatment of chronic atrial fibrillation (AF) with rapid ventricular response (RVR). The classification provides codes that describe paroxysmal, chronic, and persistent atrial fibrillation, but not atrial fibrillation with rapid ventricular response. A diagnosis of chronic AF with RVR seems to indicate severity. Would it be appropriate to assign code I48.0, Paroxysmal atrial fibrillation, for AF with RVR? If not, what code should be assigned to reflect chronic atrial fibrillation with RVR?
No, code I48.0 is not appropriate since the patient does not have paroxysmal atrial fibrillation. Assign code I48.2, Chronic atrial fibrillation, for chronic AF with RVR. The RVR is not coded separately. Chronic atrial fibrillation with rapid ventricular response (RVR) indicates problems with rate control, not paroxysmal atrial fibrillation.
Brenda Mohs, RHIT
Home Health & LTC Medical Coder