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

ICD-10 I45.89

Billable / Specific CC

Other specified conduction disorders

I45
Block
4
Synonyms
414
LCDs
26
Payer Policies
40
Linked CPTs

About ICD-10-CM I45.89

ICD-10-CM code I45.89 represents Other specified conduction disorders. This is a billable/specific code in the Circulatory System chapter (block I45). The 2026 edition of ICD-10-CM I45.89 became effective on October 1, 2025.

Coding Tips for I45.89

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

I45.89 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I45.89. Per CMS ICD-10-CM Tabular 2026.

  • Atrioventricular [AV] dissociation
  • Interference dissociation
  • Isorhythmic dissociation
  • Nonparoxysmal AV nodal tachycardia

Inpatient DRG Impact, CC

codes Other specified conduction disorders. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I45.89

Local Coverage Determinations (LCDs) from CMS MACs that list I45.89 as a covered diagnosis.

414 LCDs

Showing top 10 of 414 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 I45.89.

26 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: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
Policy ID: ART-54926
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
Policy ID: ART-54958
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
Policy ID: ART-54982
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326

CPT Codes Commonly Billed with I45.89

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

40 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 I45.89 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I45.89 42689 00000

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

ICD-10 I45.89, Billing FAQ

Is ICD-10 code I45.89 billable? +

Yes, I45.89 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 I45.89? +

ICD-10 I45.89 includes: Atrioventricular [AV] dissociation; Interference dissociation; Isorhythmic dissociation, and 1 more clinical synonyms.

Is I45.89 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with I45.89? +

Procedures frequently paired with I45.89 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does I45.89 map to? +

Per CMS GEMs, I45.89 maps to ICD-9 codes: 42689. 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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