I45.3 — Trifascicular block
Is I45.3 billable?
Yes — I45.3 is billable for FY2027. I45.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. I45.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.
I45.3 at a glance
| Code | I45.3 |
|---|---|
| Description | Trifascicular block |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does I45.3 group to?
I45.3 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 308Cardiac Arrhythmia and Conduction Disorders with MCCmedical
- 309Cardiac Arrhythmia and Conduction Disorders with CCmedical
- 310Cardiac Arrhythmia and Conduction Disorders without CC/MCCmedical
As a secondary diagnosis, I45.3 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is I45.3 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to I45.3. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Block, blocked › trifascicular
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I45.3, but a patient may have both at the same time. When documentation supports it, I45.3 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
How long has I45.3 existed?
I45.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the I45 family? (8)
- I45.0Right fascicular block
- I45.1Other and unspecified right bundle-branch blocknot billable
- I45.2Bifascicular block
- I45.4Nonspecific intraventricular block
- I45.5Other specified heart block
- I45.6Pre-excitation syndrome
- I45.8Other specified conduction disordersnot billable
- I45.9Conduction disorder, unspecified