ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I45.4

Billable / Specific

Nonspecific intraventricular block

I45
Block
1
Synonyms
204
LCDs
13
Payer Policies
0
Linked CPTs

About ICD-10-CM I45.4

ICD-10-CM code I45.4 represents Nonspecific intraventricular block. This is a billable/specific code in the Circulatory System chapter (block I45). The 2026 edition of ICD-10-CM I45.4 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I45.4. Per CMS ICD-10-CM Tabular 2026.

  • Bundle-branch block NOS

Medicare LCD Coverage for I45.4

Local Coverage Determinations (LCDs) from CMS MACs that list I45.4 as a covered diagnosis.

204 LCDs

Showing top 10 of 204 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT A4641 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT A9611 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT 78454 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J1245 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT 78453 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT A9500 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J0280 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J1250 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I45.4.

13 policies

1 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781
Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
Policy ID: ART-57183
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-57306

1 Aetna

Cardiac Catheter Ablation
Policy ID: CPB-0165

CPT Codes Commonly Billed with I45.4

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I45.4

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert I45.4 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I45.4 42650 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I45.4, Billing FAQ

Is ICD-10 code I45.4 billable? +

Yes, I45.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I45.4? +

ICD-10 I45.4 includes: Bundle-branch block NOS.

What ICD-9 codes does I45.4 map to? +

Per CMS GEMs, I45.4 maps to ICD-9 codes: 42650. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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