MCMedicalCodingSoftware
I49.49

I49.49: Other premature depolarization

Billable / specific codeICD-10-CM

I49.49 is a billable, specific ICD-10-CM code for other premature depolarization. It is valid for submission on a claim.

Check I49.49 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Ectopic beats
  • Extrasystoles
  • Extrasystolic arrhythmias
  • Premature contractions

Excludes2 inherited from the categories above I49.49

Not part of this code, but both may be coded when both are present.

Written on I49: Other cardiac arrhythmias

  • bradycardia NOS (R00.1)
  • neonatal dysrhythmia (P29.1-)
  • sinoatrial bradycardia (R00.1)
  • sinus bradycardia (R00.1)
  • vagal bradycardia (R00.1)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I49.49 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56476Billing and Coding: Cardiac Radionuclide Imaging
  • A56625Billing and Coding: Echocardiography
  • A56781Billing and Coding: Transthoracic Echocardiography (TTE)
  • A57183Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

Alphabetic index entries that lead here

  • 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)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I49.4

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.