2019 ICD-10-CM Diagnosis Code I45.6

Pre-excitation syndrome

    2016 2017 2018 2019 Billable/Specific Code
  • I45.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM I45.6 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of I45.6 - other international versions of ICD-10 I45.6 may differ.
Applicable To
  • Accelerated atrioventricular conduction
  • Accessory atrioventricular conduction
  • Anomalous atrioventricular excitation
  • Lown-Ganong-Levine syndrome
  • Pre-excitation atrioventricular conduction
  • Wolff-Parkinson-White syndrome
The following code(s) above I45.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I45.6:
  • I00-I99
    2019 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
Approximate Synonyms
  • Anomalous atrioventricular excitation
  • Lown ganong levine syndrome
  • Wolff parkinson white syndrome
  • Wolff-parkinson-white pattern
Clinical Information
  • A condition characterized by the activation of the whole or some part of the ventricle by the transmission of an atrial impulse along an accessory pathway rather than by way of the normal specific conduction system which includes a delay at the atrioventricular node.
  • A congenital electrical function abnormality in the heart. It is characterized by the presence of an accessory conductive pathway between the atria and the ventricles which causes the activation of the ventricles earlier than anticipated. Characteristic electrocardiographic findings are a short pr interval and a wide qrs complex with a delta wave.
  • A disorder characterized by the presence of an accessory conductive pathway between the atria and the ventricles that causes premature ventricular activation.
  • A form of ventricular pre-excitation characterized by a short pr interval and a long qrs interval with a delta wave. In this syndrome, atrial impulses are abnormally conducted to the heart ventricles via an accessory conducting pathway that is located between the wall of the right or left atria and the ventricles, also known as a bundle of kent. The inherited form can be caused by mutation of prkag2 gene encoding a gamma-2 regulatory subunit of amp-activated protein kinase.
  • A form of ventricular pre-excitation characterized by a short pr interval and a normal qrs complex. In this syndrome, the atrial impulse conducts via the james fibers which connect the atrium to bundle of his bypassing the upper atrioventricular node. Heart ventricles are depolarized normally through the his-purkinje system.
  • A group of conditions in which heart ventricle activation by the atrial impulse is faster than the normal impulse conduction from the sinoatrial node. In these pre-excitation syndromes, atrial impulses often bypass the atrioventricular node delay and travel via accessory conducting pathways connecting the atrium directly to the bundle of his.
  • A syndrome characterized by premature contractions of the ventricles due to the presence of an accessory conductive pathway between the atria and the ventricles.
  • A type of ventricular pre-excitation resulting from the activation of an accessory pathway known as the bundle of kent. This pathway presents an abnormal electrical communication from the atria to the ventricles. Wolff-parkinson-white syndrome is characterized by a short pr interval and a long qrs interval with a delta wave.
  • Association of paroxysmal tachycaria or atrial fibrillation and pre-excitation characterized by a short pr interval and a long qrs interval with a delta wave.
  • Extra impulse-conducting tissue in the heart that creates abnormal impulse-conducting connections between heart atria and heart ventricles.
ICD-10-CM I45.6 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 308 Cardiac arrhythmia and conduction disorders with mcc
  • 309 Cardiac arrhythmia and conduction disorders with cc
  • 310 Cardiac arrhythmia and conduction disorders without cc/mcc
  • 793 Full term neonate with major problems

Convert I45.6 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to I45.6:
  • Accelerated atrioventricular conduction I45.6
  • Accessory (congenital)
    • atrioventricular conduction I45.6
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Excitation
    • anomalous atrioventricular I45.6
  • Lown-Ganong-Levine syndrome I45.6
  • Pre-excitation atrioventricular conduction I45.6
  • Wolff-Parkinson-White syndrome I45.6

ICD-10-CM Codes Adjacent To I45.6
I44.7 Left bundle-branch block, unspecified
I45 Other conduction disorders
I45.0 Right fascicular block
I45.1 Other and unspecified right bundle-branch block
I45.10 Unspecified right bundle-branch block
I45.19 Other right bundle-branch block
I45.2 Bifascicular block
I45.3 Trifascicular block
I45.4 Nonspecific intraventricular block
I45.5 Other specified heart block
I45.6 Pre-excitation syndrome
I45.8 Other specified conduction disorders
I45.81 Long QT syndrome
I45.89 Other specified conduction disorders
I45.9 Conduction disorder, unspecified
I46 Cardiac arrest
I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9 Cardiac arrest, cause unspecified
I47 Paroxysmal tachycardia
I47.0 Re-entry ventricular arrhythmia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.