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

ICD-10 I49.8

Billable / Specific

Other specified cardiac arrhythmias

I49
Block
4
Synonyms
379
LCDs
23
Payer Policies
0
Linked CPTs

About ICD-10-CM I49.8

ICD-10-CM code I49.8 represents Other specified cardiac arrhythmias. This is a billable/specific code in the Circulatory System chapter (block I49). The 2026 edition of ICD-10-CM I49.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I49.8. Per CMS ICD-10-CM Tabular 2026.

  • Brugada syndrome
  • Coronary sinus rhythm disorder
  • Ectopic rhythm disorder
  • Nodal rhythm disorder

Medicare LCD Coverage for I49.8

Local Coverage Determinations (LCDs) from CMS MACs that list I49.8 as a covered diagnosis.

379 LCDs

Showing top 10 of 379 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 I49.8.

23 policies

1 Aetna

Apnea Monitors for Infants - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0003

5 Medicare

Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Event Detection
Policy ID: ART-56452
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiac Rhythm Device Evaluation
Policy ID: ART-56602
Billing and Coding: Cardiac Event Detection
Policy ID: ART-56606

CPT Codes Commonly Billed with I49.8

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

No procedure linkages on file for I49.8

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 I49.8 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I49.8 42789 10000

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

ICD-10 I49.8, Billing FAQ

Is ICD-10 code I49.8 billable? +

Yes, I49.8 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 I49.8? +

ICD-10 I49.8 includes: Brugada syndrome; Coronary sinus rhythm disorder; Ectopic rhythm disorder, and 1 more clinical synonyms.

What ICD-9 codes does I49.8 map to? +

Per CMS GEMs, I49.8 maps to ICD-9 codes: 42789. 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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