I49.49 — Other premature depolarization
I49.49 is a billable, specific ICD-10-CM code for other premature depolarization. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Ectopic beats
- Extrasystoles
- Extrasystolic arrhythmias
- Premature contractions
Risk adjustment
I49.49 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I49.49 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56625Billing and Coding: Echocardiography
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
How I49.49 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I49.49.
- Extrasystoles(supraventricular)
- Arrhythmia›extrasystolic
- Beat›ectopic
- Beat›escaped, heart
- Depolarization, premature›specified NEC
- Ectopic, ectopia›beats
- Contraction, contracture, contracted›premature›auriculoventricular
- Contraction, contracture, contracted›premature›heart
- Premature›contraction›auriculoventricular
- Premature›contraction›heart(extrasystole)
Related codes at this level
Codes that share I49.4. If I49.49 is not quite right, the correct code is usually one of these.
Questions about I49.49
- Is I49.49 a billable ICD-10-CM code?
- Yes. I49.49 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I49.49 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).