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

ICD-10 Coding for Acute on Chronic Heart Failure

I50.23
I50.33
I50.43

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

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

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

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

Primary ICD-10-CM Codes

Acute on chronic systolic heart failure

Billable Code
I50.23
Billable

Diagnostic Criteria

  • • EF <40%
  • • BNP >400 pg/mL
  • • Symptoms of acute decompensation

Applicable To

  • • Acute decompensation of chronic systolic heart failure

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and the type of heart failure.

Acute on chronic diastolic heart failure

Billable Code
I50.33
Billable

Diagnostic Criteria

  • • EF ≥50%
  • • BNP >400 pg/mL
  • • Symptoms of acute decompensation

Applicable To

  • • Exacerbation of diastolic heart failure

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and the type of heart failure.

Acute on chronic combined systolic and diastolic heart failure

Billable Code
I50.43
Billable

Diagnostic Criteria

  • • Symptoms of acute decompensation
  • • Echocardiogram showing combined dysfunction

Applicable To

  • • Acute decompensation of combined heart failure

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and the type of heart failure.
Ancillary Codes

Additional codes that may be used with this diagnosis

I11.0

Hypertensive heart disease with heart failure

Use as a primary code if hypertension is the underlying cause.

Frequently Asked Questions

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

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

How should acute on chronic heart failure be documented?

Documentation should specify 'acute on chronic', the type of heart failure (systolic, diastolic, combined), and include clinical evidence like EF and BNP levels.

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