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

ICD-10 I45.81

Billable / Specific

Long QT syndrome

I45
Block
0
Synonyms
514
LCDs
32
Payer Policies
58
Linked CPTs

About ICD-10-CM I45.81

ICD-10-CM code I45.81 represents Long QT syndrome. This is a billable/specific code in the Circulatory System chapter (block I45). The 2026 edition of ICD-10-CM I45.81 became effective on October 1, 2025.

Medicare LCD Coverage for I45.81

Local Coverage Determinations (LCDs) from CMS MACs that list I45.81 as a covered diagnosis.

514 LCDs

Showing top 10 of 514 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 I45.81.

32 policies

3 Cigna

Ambulatory External and Implantable Electrocardiographic Monitoring - (0547)
Policy ID: MM_0547
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Automatic External Defibrillators - Policy Article
Policy ID: ART-52458
Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326

CPT Codes Commonly Billed with I45.81

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 I45.81 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I45.81 42682 00000

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

ICD-10 I45.81, Billing FAQ

Is ICD-10 code I45.81 billable? +

Yes, I45.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with I45.81? +

Procedures frequently paired with I45.81 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does I45.81 map to? +

Per CMS GEMs, I45.81 maps to ICD-9 codes: 42682. 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 May 31, 2026.

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