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    v1.0.30
    OpenPayerBilling CodesOther forms of heart diseaseICD-10-CM i44-atrioventricular-and-left-bundle-branch-block
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    ICD-10-CM Code For Atrioventricular And Left Bundle-Branch Block: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I44 includes atrioventricular conduction disorders and left bundle-branch block, covering first-, second-, and third-degree atrioventricular block as well as bundle-branch conduction delays and blocks. These ICD-10-CM diagnosis codes are used to document conduction system abnormalities that affect cardiac rhythm, capture conduction severity and laterality, and reflect the need for monitoring or device therapy. Accurate coding within the ICD-10-CM I44 group supports proper claim adjudication and complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM I44: Atrioventricular And Left Bundle-Branch Block Overview

    This group includes conduction disorders affecting the atrioventricular node and the left bundle branch of the heart, which disrupt normal electrical impulse transmission and can lead to bradycardia or syncope. These diagnoses target the cardiac conduction system and are important for documenting rhythm disturbances and associated symptoms. Accurate coding matters for reimbursement because it links clinical documentation to the specific conduction abnormality treated or monitored.

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    When to Use

    Assign a code from this group when clinical documentation identifies atrioventricular block or left bundle-branch block based on electrocardiographic findings or clinical assessment. Use these codes to capture the presence, degree, and laterality of conduction abnormalities for clinical records and billing.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    I440Atrioventricular block, first degree
    I441Atrioventricular block, second degree
    I442Atrioventricular block, complete
    I4430Unspecified atrioventricular block
    I4439Other atrioventricular block
    I444Left anterior fascicular block
    I445Left posterior fascicular block
    I4460Unspecified fascicular block
    I4469Other fascicular block
    I447Left bundle-branch block, unspecified

    DRG Codes

    5 rows

    DRG CodeDescription
    308Cardiac Arrhythmia and Conduction Disorders with MCC
    309Cardiac Arrhythmia and Conduction Disorders with CC
    310Cardiac Arrhythmia and Conduction Disorders without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • An elderly patient presents to the emergency department with sudden-onset syncope and lightheadedness. ECG in the ED shows complete atrioventricular dissociation with slow ventricular escape rhythm and hemodynamic instability, prompting temporary pacing and cardiology consultation; this acute conduction block presentation is coded from this group. Typical codes: I442, I4430.
    • A middle-aged outpatient with known ischemic cardiomyopathy reports progressive exertional fatigue and presyncopal episodes despite optimal medical therapy; surface ECG demonstrates new left bundle-branch block that is persistent compared with prior tracings, and the finding is documented as a chronic conduction abnormality affecting management. Typical codes: I445, I4469.
    • A hospitalized patient recovering from inferior myocardial infarction develops intermittent high-grade AV block observed on telemetry, occurring as a complication of the infarct and requiring monitoring and possible permanent pacing planning; the conduction disturbance is recorded as a complication/comorbidity of the acute MI. Typical codes: I441, I444.

    Related Codes

    I30-ACUTE-PERICARDITIS

    ICD-10-CM Code For Acute Pericarditis: Group Overview

    I31-OTHER-DISEASES-OF-PERICARDIUM

    ICD-10-CM Code For Other Diseases Of Pericardium: Group Overview

    I32-PERICARDITIS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Pericarditis In Diseases Classified Elsewhere: Group Overview

    I33-ACUTE-AND-SUBACUTE-ENDOCARDITIS

    ICD-10-CM Code For Acute And Subacute Endocarditis: Group Overview

    I34-NONRHEUMATIC-MITRAL-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Mitral Valve Disorders: Group Overview

    I35-NONRHEUMATIC-AORTIC-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Aortic Valve Disorders: Group Overview

    I36-NONRHEUMATIC-TRICUSPID-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Tricuspid Valve Disorders: Group Overview

    I37-NONRHEUMATIC-PULMONARY-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Pulmonary Valve Disorders: Group Overview

    I38-ENDOCARDITIS-VALVE-UNSPECIFIED

    ICD-10-CM Code For Endocarditis Valve Unspecified: Group Overview

    I39-ENDOCARDITIS-AND-HEART-VALVE-DISORDERS

    ICD-10-CM Code For Endocarditis And Heart Valve Disorders In Diseases Classified Elsewhere: Group Overview

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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