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ICD-10-CM 2027

ICD-10 code for AFib (atrial fibrillation)

I48.91

Unspecified atrial fibrillation

✓ Billable / specific

Confirmed by the official ICD-10-CM index entry “fibrillation › atrial or auricular (established)”. Page updated September 29, 2026.

About coding AFib

The ICD-10-CM code for AFib (atrial fibrillation) is I48.91 (Unspecified atrial fibrillation). The official index lists 8 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on I48.91.

It is also searched as a-fib, A fib.

Within I48.9 (unspecified atrial fibrillation and atrial flutter), I48.91 is specifically for unspecified atrial fibrillation. Related codes cover flutter (I48.92).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

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.

Related AFib codes

  • I48.0 Paroxysmal atrial fibrillation
  • I48.11 Longstanding persistent atrial fibrillation
  • I48.19 Other persistent atrial fibrillation
  • I48.20 Chronic atrial fibrillation, unspecified
  • I48.21 Permanent atrial fibrillation
  • I48.3 Typical atrial flutter
  • I48.4 Atypical atrial flutter
  • I48.92 Unspecified atrial flutter

Common questions about AFib ICD-10 codes

What is the ICD-10 code for AFib?

I48.91 — Unspecified atrial fibrillation. More specific codes apply when the documentation supports them: I48.0, I48.11, I48.19, I48.20 and others below.

What is the ICD-10 code for paroxysmal atrial fibrillation?

I48.0 — Paroxysmal atrial fibrillation.

What is the ICD-10 code for longstanding persistent atrial fibrillation?

I48.11 — Longstanding persistent atrial fibrillation.

What is the ICD-10 code for other persistent atrial fibrillation?

I48.19 — Other persistent atrial fibrillation.

What is the ICD-10 code for chronic atrial fibrillation, unspecified?

I48.20 — Chronic atrial fibrillation, unspecified.

What is the ICD-10 code for permanent atrial fibrillation?

I48.21 — Permanent atrial fibrillation.

What is the ICD-10 code for typical atrial flutter?

I48.3 — Typical atrial flutter.

Is I48.91 billable?

Yes. I48.91 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can I48.91 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict I48.91 as a principal diagnosis.

Is I48.91 a CC or MCC?

No. I48.91 is neither a CC nor an MCC under MS-DRG v44.0.