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I49.5

Sick sinus syndrome

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 15 never code together
I49code
Excludes2
  • bradycardia NOS (R00.1)R00.1
  • neonatal dysrhythmia (P29.1-)P29.1-
  • sinoatrial bradycardia (R00.1)R00.1
  • sinus bradycardia (R00.1)R00.1
  • vagal bradycardia (R00.1)R00.1
I00-I99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • systemic connective tissue disorders (M30-M36)M30-M36
  • transient cerebral ischemic attacks and related syndromes (G45.-)G45.-

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 4
I49.5code
Inclusion terms
  • Tachycardia-bradycardia syndrome
I49code
Code first
  • cardiac arrhythmia complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)O00-O07O08.8
  • obstetric surgery and procedures (O75.4)O75.4
Index entries leading here 7
  • Bradycardia (sinoatrial) (sinus) (vagal) R00.1
    • tachycardia syndrome I49.5
  • Syndrome — see also Disease
    • bradycardia-tachycardia I49.5
    • sick
    • tachycardia-bradycardia I49.5
  • Bradytachycardia I49.5
  • Dysfunction
  • Tachycardia R00.0
    • paroxysmal (sustained) (nonsustained) I47.9
      • with sinus bradycardia I49.5
    • sick sinus I49.5
  • Pause, sinoatrial I49.5
  • Sick R69
Alongside this code 7 same parent — I49
Medications 1

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC96 CMS28HCC238 ESRD21HCC96 ESRD24HCC96

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
I49
Block
I30-I5A
Siblings
7

Present FY2024–FY2027.