I48.19Other persistent atrial fibrillation

I48.19 is the ICD-10-CM diagnosis code for other persistent atrial fibrillation. It belongs to category I48 (atrial fibrillation and flutter), block I30-I5A (other forms of heart disease) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I48.1, choose I48.19 (Other persistent atrial fibrillation) only when documentation doesn't support a more specific option: Longstanding persistent atrial fibrillation (I48.11).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 308 (Cardiac Arrhythmia and Conduction Disorders with MCC, relative weight 1.1806), DRG 309 (Cardiac Arrhythmia and Conduction Disorders with CC, relative weight 0.7316), DRG 310 (Cardiac Arrhythmia and Conduction Disorders without CC/MCC, relative weight 0.568), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 05 (Diseases and Disorders of the Circulatory System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2020, effective October 1, 2019.