Z86.74 Personal history of sudden cardiac arrest

ICD10CM code

#### Name of the Condition
- Personal History of Sudden Cardiac Arrest
- ICD Code: Z86.74

#### Summary
Sudden cardiac arrest (SCA) is a serious, life-threatening condition where the heart suddenly stops beating. Surviving an episode often signifies underlying heart issues that need ongoing attention.

#### Causes
Sudden cardiac arrest is often triggered by electrical disturbances in the heart. These can arise from heart disease, heart attack, or genetic conditions affecting the heart's rhythm.

#### Risk Factors
- Previous heart attack
- Coronary artery disease
- Family history of cardiac arrest
- Smoking
- High blood pressure or cholesterol
- Obesity
- Diabetes

#### Symptoms
- Loss of consciousness
- No pulse or breathing
- Sudden collapse
- Prior to arrest: chest pain, shortness of breath, palpitations

#### Diagnosis
The personal history of sudden cardiac arrest is established through medical records of the initial event, alongside tests to determine underlying causes:
- Electrocardiogram (ECG)
- Echocardiogram
- Coronary angiography
- Electrophysiological study

#### Treatment Options
- Monitoring of heart health through regular cardiac check-ups
- Medications such as beta-blockers or anti-arrhythmics
- Implanting devices like pacemakers or implantable cardioverter-defibrillators (ICDs) to regulate heart rhythm

#### Prognosis and Follow-Up
Prognosis depends on effective management and treatment of underlying causes. Regular follow-up with a cardiologist is crucial to monitor heart health and prevent recurrence.

#### Complications
Without effective follow-up and management, there is a risk of:
- Recurrent cardiac arrest
- Heart failure
- Stroke
- Death

#### Lifestyle & Prevention
- Adopt a heart-healthy diet rich in fruits, vegetables, and whole grains
- Engage in regular physical activity
- Avoid tobacco and limit alcohol consumption
- Manage stress and maintain a healthy weight

#### When to Seek Professional Help
Seek immediate medical attention if experiencing symptoms like:
- Severe chest pain
- Fainting or sudden dizziness
- Rapid or irregular heartbeats

#### Additional Resources
- American Heart Association [https://www.heart.org]
- Sudden Cardiac Arrest Foundation [https://www.sca-aware.org]

#### Tips for Medical Coders
- Ensure accurate documentation of the patient's history of sudden cardiac arrest.
- Verify that the ICD code Z86.74 is used in the context of historical instances, not active conditions.
- Document any underlying causes or additional conditions related to the history of cardiac arrest.

Medical Policies and Guidelines for Personal history of sudden cardiac arrest

Related policies from health plans

Similar Codes