I45.4

Clinical notes

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •Laterality-specific codes exist for this condition — confirm the affected side is documented.
• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 42650Approximate match

Associated MS-DRGs

I45.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 205Other Respiratory System Diagnoses with MCC
• DRG 206Other Respiratory System Diagnoses without MCC
• DRG 308Cardiac Arrhythmia and Conduction Disorders with MCC
• DRG 309Cardiac Arrhythmia and Conduction Disorders with CC
• DRG 310Cardiac Arrhythmia and Conduction Disorders without CC/MCC