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I47 ICD-10-CM Code: Paroxysmal tachycardia

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Other forms of heart disease (I30-I5A)

I47

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Paroxysmal tachycardia

Paroxysmal tachycardia

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
I4Other forms of heart disease (I30-I5A)
I47Paroxysmal tachycardia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I47 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I47 in this effective period.

Related Child Codes

Official
I47.0Re-entry ventricular arrhythmia
I47.1Supraventricular tachycardia
I47.2Ventricular tachycardia
I47.9Paroxysmal tachycardia, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for I47 in this effective period.

Excludes 1

Official
  • tachycardia NOS (R00.0)
  • sinoauricular tachycardia NOS (R00.0)
  • sinus [sinusal] tachycardia NOS (R00.0)

Code First

Official
  • tachycardia complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I47 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I47 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
I47
Description
Paroxysmal tachycardia
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

I47 is the ICD-10-CM diagnosis code for paroxysmal tachycardia. I47 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering other forms of heart disease (i30-i5a).

Header codes like I47 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I47's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I47 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • tachycardia NOS (R00.0)
  • sinoauricular tachycardia NOS (R00.0)
  • sinus [sinusal] tachycardia NOS (R00.0)

Code First

  • tachycardia complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)

Child Codes

Code Hierarchy

I47Paroxysmal tachycardia
I47Paroxysmal tachycardia

More on I47

Referenced in blog posts

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