Paroxysmal Atrial Tachycardia

Are these paroxysmal atrial tachycardia ICD codes billable?

All of the aforementioned codes, except for I47.1, are valid and billable.

Clinical information

• Paroxysmal atrial tachycardia (PAT) is a type of arrhythmia characterized by the heart beating abnormally fast up to 250bpm and it ends abruptly.
• The leading causes of paroxysmal atrial tachycardia are heart disease/attack, alcohol, caffeine, specific medications, COPD, and electrolyte imbalances that may cause misfires in electrical signals from the atria. 
• Symptoms of PAT are dizziness, palpitations, angina, lightheadedness, breathlessness, and fainting. Other symptoms dependent on age or severity are vomiting, rapid breathing, cardiac arrest, and unconsciousness. 
• A practitioner will conduct a physical exam and check the electrical activity in the patient's heart using an electrocardiogram (ECG) to diagnose paroxysmal atrial tachycardia. The patient may also ask the patient to wear a Holter monitor or ambulatory monitor to check their heart activity over a more extended period. 
• Treatments for paroxysmal atrial tachycardia are medication, ablation, and lifestyle changes. 
• Please note that paroxysmal atrial tachycardia is different from (persistent) atrial fibrillation. The latter is characterized by irregular heartbeats.
• It is also not the same as ventricular tachycardia because atrial tachycardia occurs in the upper heart chambers, while ventricular tachycardia occurs in the lower chambers.

Synonyms include

• Tachycardia, paroxysmal
• Paroxysmal tachycardia
• Incisional tachycardia
• Supraventricular tachycardia
• Atrial tachycardia
• Ectopic atrial tachycardia NOS
• Multifocal atrial tachycardia NOS

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