I45: Other conduction disorders

I45 refers to Other conduction disorders, which encompasses various cardiac conditions involving the pericardium, endocardium, myocardium, valves, conduction system, or overall heart function. These diagnoses range from inflammatory conditions and structural defects to electrical disturbances and heart failure.

Symptoms

• Chest pain – Seen in pericarditis (I30–I32) and myocarditis (I40–I41)
• Fever and fatigue – Common in endocarditis (I33, I38, I39)
• Palpitations or skipped beats – Indicative of arrhythmias (I47–I49)
• Shortness of breath – Present in cardiomyopathy (I42–I43) and heart failure (I50)
• Syncope or dizziness – Associated with conduction blocks (I44–I45)
• Edema and weight gain – Typical of worsening heart failure (I50)
• Sudden collapse – Could indicate cardiac arrest (I46) or non-ischemic myocardial injury (I5A)

Diagnosis

Diagnosis of Other conduction disorders includes ECG, echocardiogram, cardiac MRI, blood cultures, troponins, BNP, chest X-ray, and sometimes cardiac catheterization. Thorough evaluation of rhythm, valve function, inflammation, and structural changes is critical to guide therapy.

ICD10 Code Usage

ICD10 code I45 is used by cardiologists, internists, emergency physicians, and intensivists. It supports clinical documentation, medication management, surgical decisions (e.g., valve replacement), device implantation (e.g., pacemakers), or hospitalization for acute decompensation.

Related Codes

• I30 – Acute pericarditis
• I31 – Other diseases of pericardium
• I32 – Pericarditis in diseases classified elsewhere
• I33 – Acute and subacute endocarditis
• I34 – Nonrheumatic mitral valve disorders
• I35 – Nonrheumatic aortic valve disorders
• I36 – Nonrheumatic tricuspid valve disorders
• I37 – Nonrheumatic pulmonary valve disorders
• I38 – Endocarditis, valve unspecified
• I39 – Endocarditis and heart valve disorders in diseases classified elsewhere
• I40 – Acute myocarditis
• I41 – Myocarditis in diseases classified elsewhere
• I42 – Cardiomyopathy
• I43 – Cardiomyopathy in diseases classified elsewhere
• I44 – Atrioventricular and left bundle-branch block
• I46 – Cardiac arrest
• I47 – Paroxysmal tachycardia
• I48 – Atrial fibrillation and flutter
• I49 – Other cardiac arrhythmias
• I50 – Heart failure
• I51 – Complications and ill-defined descriptions of heart disease
• I52 – Other heart disorders in diseases classified elsewhere
• I5A – Non-ischemic myocardial injury (non-traumatic)

FAQs

Q1: What is ICD10 code I45?
A: It refers to Other conduction disorders, which includes inflammatory, electrical, valvular, structural, and functional heart disorders depending on the code type.

Q2: How are these conditions treated?
A: Treatment ranges from antibiotics (for endocarditis), steroids (for pericarditis/myocarditis), antiarrhythmics, heart failure meds, to surgeries and device implantation.

Q3: What is non-ischemic myocardial injury (I5A)?
A: It’s myocardial damage not caused by coronary artery blockage—seen in sepsis, myocarditis, or stress cardiomyopathy.

Q4: Can conduction blocks (I44–I45) cause death?
A: Severe blocks can cause sudden cardiac arrest if untreated, requiring pacemaker insertion.

Q5: Who manages these conditions?
A: Cardiologists primarily, with involvement from electrophysiologists, surgeons, and ICU teams depending on acuity and subtype.

Conclusion

ICD10 code I45 is essential for classifying and managing Other conduction disorders, supporting timely diagnosis, risk stratification, therapeutic interventions, and long-term follow-up across a wide spectrum of heart diseases.