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

ICD-10 Coding for Acute on Chronic Congestive Heart Failure Exacerbation

I50.23
I50.33
I50.43

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

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

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

Use ICD-10 code I50.23 for acute on chronic systolic (congestive) heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute on chronic systolic (congestive) heart failure

Billable Code
I50.23
Billable

Diagnostic Criteria

  • • LVEF <40%
  • • BNP >500 pg/mL
  • • Symptoms of acute decompensation

Applicable To

  • • Acute decompensation of chronic systolic heart failure

Important Notes

  • • Ensure LVEF and symptoms are documented to support this code.

Acute on chronic diastolic (congestive) heart failure

Billable Code
I50.33
Billable

Diagnostic Criteria

  • • LVEF ≥50%
  • • BNP >300 pg/mL
  • • Symptoms of acute decompensation

Applicable To

  • • Acute decompensation of chronic diastolic heart failure

Important Notes

  • • Ensure LVEF and symptoms are documented to support this code.

Acute on chronic combined systolic and diastolic heart failure

Billable Code
I50.43
Billable

Diagnostic Criteria

  • • Mixed systolic and diastolic dysfunction on imaging
  • • Symptoms of acute decompensation

Applicable To

  • • Acute decompensation of combined systolic and diastolic heart failure

Important Notes

  • • Ensure both systolic and diastolic dysfunctions are documented to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

E87.70

Fluid overload

Use when there is evidence of fluid overload such as pulmonary edema.

Frequently Asked Questions

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

The ICD-10 codes for acute on chronic congestive heart failure exacerbation include I50.23 for systolic, I50.33 for diastolic, and I50.43 for combined heart failure types.

How do you document acute on chronic heart failure?

Document acute on chronic heart failure by specifying the type (systolic, diastolic, combined), LVEF, and symptoms such as weight gain or shortness of breath.

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