PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R00.1

Billable / Specific

Bradycardia, unspecified

R00
Block
4
Synonyms
312
LCDs
23
Payer Policies
3
Linked CPTs

About ICD-10-CM R00.1

ICD-10-CM code R00.1 represents Bradycardia, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R00). The 2026 edition of ICD-10-CM R00.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R00.1. Per CMS ICD-10-CM Tabular 2026.

  • Sinoatrial bradycardia
  • Sinus bradycardia
  • Slow heart beat
  • Vagal bradycardia

Type 1 Excludes

Pure excludes, these codes can never be coded together with R00.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • neonatal bradycardia (P29.12)

Use Additional Code

When coding R00.1, also report these additional codes when applicable.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Medicare LCD Coverage for R00.1

Local Coverage Determinations (LCDs) from CMS MACs that list R00.1 as a covered diagnosis.

312 LCDs

Showing top 10 of 312 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 R00.1.

23 policies

4 Aetna

Oxygen - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0002
Apnea Monitors for Infants - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0003
Holter Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0019
Cardiac Event Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0073

1 Cigna

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

5 Medicare

Billing and Coding: Cardiac Event Detection
Policy ID: ART-56452
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
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 R00.1

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

3 linkages
  • 93015 Stress test — chest pain, palpitations, syncope, known CAD Cardiovascular Disease
  • 93000 EKG 12-lead — tachycardia, bradycardia, palpitations, HTN, CAD, AFib, arrhythmia, chest pain, syncope, cardiomyopathy, AV block, bundle branch block, SVT, VT, diabetes screening, abnormal EKG Cardiology
  • 93010 EKG interpretation only — same dx as 93000 Cardiology

Convert R00.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R00.1 42781 10000
R00.1 42789 10000

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

ICD-10 R00.1, Billing FAQ

Is ICD-10 code R00.1 billable? +

Yes, R00.1 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 R00.1? +

ICD-10 R00.1 includes: Sinoatrial bradycardia; Sinus bradycardia; Slow heart beat, and 1 more clinical synonyms.

What codes are Type 1 Excludes for R00.1? +

Type 1 Excludes (never code together with R00.1): neonatal bradycardia (P29.12)

What CPT codes are commonly billed with R00.1? +

Procedures frequently paired with R00.1 include: 93015, 93000, 93010.

What ICD-9 codes does R00.1 map to? +

Per CMS GEMs, R00.1 maps to ICD-9 codes: 42781, 42789. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking