2020 ICD-10-CM Diagnosis Code I49.02

Ventricular flutter

    2016 2017 2018 2019 2020 Billable/Specific Code
  • I49.02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM I49.02 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of I49.02 - other international versions of ICD-10 I49.02 may differ.
The following code(s) above I49.02 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 I49.02:
  • I00-I99
    2020 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
  • I49
    ICD-10-CM Diagnosis Code I49

    Other cardiac arrhythmias

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • cardiac arrhythmia complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
    • obstetric surgery and procedures (O75.4)
    Type 1 Excludes
    • neonatal dysrhythmia (P29.1-)
    • sinoatrial bradycardia (R00.1)
    • sinus bradycardia (R00.1)
    • vagal bradycardia (R00.1)
    Type 2 Excludes
    Other cardiac arrhythmias
Clinical Information
  • A potentially lethal cardiac arrhythmia characterized by an extremely rapid, hemodynamically unstable ventricular tachycardia (150-300 beats/min) with a large oscillating sine-wave appearance. If untreated, ventricular flutter typically progresses to ventricular fibrillation.
  • A ventricular tachyarrhythmia characterized by a high ventricular rate (180 and 250 beats per minute) with a regular rhythm. The electrocardiogram shows large oscillating sine wave-like complexes occurring as a result of qrs complexes and t waves being merged. The p wave is not visible.
  • A ventricular tachyarrhythmia characterized electrocardiographically by smooth undulating waves with qrs complexes merged with t waves, a rate of approximately 250 per minute.
ICD-10-CM I49.02 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 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
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert I49.02 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
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to I49.02:
  • Flutter
    • heart I49.8
      ICD-10-CM Diagnosis Code I49.8

      Other specified cardiac arrhythmias

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Brugada syndrome
      • Coronary sinus rhythm disorder
      • Ectopic rhythm disorder
      • Nodal rhythm disorder
      • ventricular I49.02
    • ventricular I49.02

ICD-10-CM Codes Adjacent To I49.02
I48.20 …… unspecified
I48.21 Permanent atrial fibrillation
I48.3 Typical atrial flutter
I48.4 Atypical atrial flutter
I48.9 Unspecified atrial fibrillation and atrial flutter
I48.91 Unspecified atrial fibrillation
I48.92 Unspecified atrial flutter
I49 Other cardiac arrhythmias
I49.0 Ventricular fibrillation and flutter
I49.01 Ventricular fibrillation
I49.02 Ventricular flutter
I49.1 Atrial premature depolarization
I49.2 Junctional premature depolarization
I49.3 Ventricular premature depolarization
I49.4 Other and unspecified premature depolarization
I49.40 Unspecified premature depolarization
I49.49 Other premature depolarization
I49.5 Sick sinus syndrome
I49.8 Other specified cardiac arrhythmias
I49.9 Cardiac arrhythmia, unspecified
I50 Heart failure

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