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

ICD-10 I45.6

Billable / Specific

Pre-excitation syndrome

I45
Block
6
Synonyms
532
LCDs
29
Payer Policies
58
Linked CPTs

About ICD-10-CM I45.6

ICD-10-CM code I45.6 represents Pre-excitation syndrome. This is a billable/specific code in the Circulatory System chapter (block I45). The 2026 edition of ICD-10-CM I45.6 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I45.6. Per CMS ICD-10-CM Tabular 2026.

  • Accelerated atrioventricular conduction
  • Accessory atrioventricular conduction
  • Anomalous atrioventricular excitation
  • Lown-Ganong-Levine syndrome
  • Pre-excitation atrioventricular conduction
  • Wolff-Parkinson-White syndrome

Medicare LCD Coverage for I45.6

Local Coverage Determinations (LCDs) from CMS MACs that list I45.6 as a covered diagnosis.

532 LCDs

Showing top 10 of 532 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I45.6.

29 policies

2 Cigna

Ambulatory External and Implantable Electrocardiographic Monitoring - (0547)
Policy ID: MM_0547
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56391

CPT Codes Commonly Billed with I45.6

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

58 linkages
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33220 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33224 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33270 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33272 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

Convert I45.6 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I45.6 4267 10000
I45.6 42681 10000

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

ICD-10 I45.6, Billing FAQ

Is ICD-10 code I45.6 billable? +

Yes, I45.6 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 I45.6? +

ICD-10 I45.6 includes: Accelerated atrioventricular conduction; Accessory atrioventricular conduction; Anomalous atrioventricular excitation, and 3 more clinical synonyms.

What CPT codes are commonly billed with I45.6? +

Procedures frequently paired with I45.6 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does I45.6 map to? +

Per CMS GEMs, I45.6 maps to ICD-9 codes: 4267, 42681. 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 July 16, 2026.

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