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I49.89

I49.89: Other specified cardiac arrhythmias not elsewhere classified

Billable / specific codeICD-10-CM

I49.89 is a billable, specific ICD-10-CM code for other specified cardiac arrhythmias not elsewhere classified. It is valid for submission on a claim.

Check I49.89 with the rest of the claim: free scrubber

Inclusion terms

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

  • Coronary sinus rhythm disorder
  • Ectopic rhythm disorder
  • Nodal rhythm disorder

Excludes2 inherited from the categories above I49.89

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

I49.89 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52458Automatic External Defibrillators - Policy Article
  • A56476Billing and Coding: Cardiac Radionuclide Imaging
  • A56602Billing and Coding: Cardiac Rhythm Device Evaluation
  • A56625Billing and Coding: Echocardiography

Alphabetic index entries that lead here

  • Bradyarrhythmia, cardiac
  • Nodal rhythm
  • Arrhythmia›sinus
  • Arrhythmia›specified NEC
  • Fibrillation›cardiac
  • Fibrillation›heart
  • Flutter›heart
  • Rhythm›atrioventricular nodal
  • Rhythm›nodal
  • Sinus›arrhythmia
  • Wandering›pacemaker(heart)
  • Rhythm›disorder›coronary sinus

Code history

  • addedFY2024-FY2027

    Other specified cardiac arrhythmias not elsewhere classified

Other codes under I49.8

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.