I48.19
BillableOther persistent atrial fibrillation
HCC Category Mapping
V28HCC 238 — Specified Heart Arrhythmias
0.000V24HCC 96 — Specified Heart Arrhythmias
0.282ESRDHCC 96 — Specified Heart Arrhythmias
0.000RxHCCHCC 193 — Specified Heart Arrhythmias
0.000What This Code Means
A persistent irregular heartbeat in the upper chambers of the heart that continues beyond the initial episode but is not longstanding or permanent.
Coding Tips
- •Use this code for persistent atrial fibrillation that does not meet criteria for longstanding persistent or permanent categories
- •Ensure documentation clarifies the duration and persistence pattern of the arrhythmia
Clinical Significance
Other persistent atrial fibrillation indicates continuous atrial fibrillation that does not self-terminate but has not been present long enough to be classified as longstanding. This typically represents atrial fibrillation lasting more than 7 days but less than 12 months. Treatment may include cardioversion attempts and rhythm control strategies in addition to anticoagulation.
Documentation Requirements
- ✓Provider diagnosis of persistent atrial fibrillation
- ✓Duration of continuous atrial fibrillation documented
- ✓Electrocardiogram or monitoring confirmation
- ✓Documentation that the atrial fibrillation is not self-terminating
- ✓Treatment strategy (rhythm control, cardioversion plans, anticoagulation)
Commonly Confused Codes
I48.0 — Paroxysmal atrial fibrillation; self-terminating, not persistentI48.11 — Longstanding persistent atrial fibrillation; continuous for greater than 12 monthsI48.21 — Permanent atrial fibrillation; rhythm control abandonedI48.91 — Unspecified atrial fibrillation; use only when the pattern cannot be determined
Code Hierarchy
└I48Atrial fibrillation and flutter└I48.1Persistent atrial fibrillation└I48.19Other persistent atrial fibrillation
└I48.19Other persistent atrial fibrillation