MCMedicalCodingSoftware
I49.9

I49.9: Cardiac arrhythmia, unspecified

Billable / specific codeICD-10-CM

I49.9 is a billable, specific ICD-10-CM code for cardiac arrhythmia, unspecified. It is valid for submission on a claim.

Check I49.9 with the rest of the claim: free scrubber

Inclusion terms

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

  • Arrhythmia (cardiac) NOS

Excludes2 inherited from the categories above I49.9

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

I49.9 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56391Billing and Coding: Implantable Automatic Defibrillators
  • A56476Billing and Coding: Cardiac Radionuclide Imaging
  • A56602Billing and Coding: Cardiac Rhythm Device Evaluation
  • A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

  • Arrhythmia(auricle)(cardiac)(juvenile)(nodal)(reflex)(supraventricular)(transitory)(ventricle)
  • Action, heart›disorder
  • Action, heart›irregular
  • Disorder›heart action
  • Disturbance›rhythm, heart
  • Dysrhythmia›cardiac
  • Irregular, irregularity›action, heart
  • Rhythm›disorder
  • Rhythm›escape
  • Rhythm›heart, abnormal

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I49

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.