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Home/Diagnosis/ICD-10 Coding for Acute Congestive Heart Failure

ICD-10 Coding for Acute Congestive Heart Failure

I50.21
I50.31

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute congestive heart failure includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Acute CHF
Acute Heart Failure
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Key Information: ICD-10 Coding for Acute Congestive Heart Failure

Essential facts and insights about ICD-10 Coding for Acute Congestive Heart Failure

Use ICD-10 code I50.21 for acute systolic (congestive) heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute systolic (congestive) heart failure

Billable Code
I50.21
Billable

Diagnostic Criteria

  • • Ejection fraction <40%
  • • Elevated BNP levels
  • • Pulmonary congestion on chest X-ray

Applicable To

  • • Acute decompensated systolic heart failure

Important Notes

  • • Ensure documentation specifies 'acute' and 'systolic' to avoid unspecified coding.

Acute diastolic (congestive) heart failure

Billable Code
I50.31
Billable

Diagnostic Criteria

  • • Ejection fraction ≥50%
  • • Diastolic dysfunction on echocardiogram

Applicable To

  • • Acute decompensated diastolic heart failure

Important Notes

  • • Ensure documentation specifies 'acute' and 'diastolic' to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

E87.70

Fluid overload

Use when there is documented fluid overload associated with heart failure.

I11.0

Hypertensive heart disease with heart failure

Use when hypertension is a contributing factor to heart failure.

Frequently Asked Questions

What is the ICD-10 code for acute congestive heart failure?

The ICD-10 code for acute congestive heart failure is I50.21 for systolic and I50.31 for diastolic types, depending on the ejection fraction and clinical presentation.

How do you document acute congestive heart failure?

Document acute congestive heart failure by specifying the type (systolic or diastolic), acuity, ejection fraction, and any underlying causes or contributing factors.

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