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.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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