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Home/Diagnosis/ICD-10 Coding for Combined Systolic and Diastolic Congestive Heart Failure

ICD-10 Coding for Combined Systolic and Diastolic Congestive Heart Failure

I50.41
I50.42
I50.43

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

Also Known as:
Chronic Combined Systolic and Diastolic CHF
Acute on Chronic Combined Systolic and Diastolic CHF
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Key Information: ICD-10 Coding for Combined Systolic and Diastolic Congestive Heart Failure

Essential facts and insights about ICD-10 Coding for Combined Systolic and Diastolic Congestive Heart Failure

Use ICD-10 code I50.41 for acute combined systolic and diastolic heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute combined systolic and diastolic heart failure

Billable Code
I50.41
Billable

Diagnostic Criteria

  • • EF <50%
  • • E/e' >14
  • • Acute pulmonary edema on CXR

Applicable To

  • • Acute heart failure with both systolic and diastolic dysfunction

Important Notes

  • • Ensure documentation specifies acute nature and both systolic and diastolic dysfunction.

Chronic combined systolic and diastolic heart failure

Billable Code
I50.42
Billable

Diagnostic Criteria

  • • EF 45-50%
  • • Stable diuretic regimen
  • • BNP 100-500 pg/mL

Applicable To

  • • Chronic heart failure with both systolic and diastolic dysfunction

Important Notes

  • • Document chronic nature and both systolic and diastolic dysfunction.

Acute on chronic combined systolic and diastolic heart failure

Billable Code
I50.43
Billable

Diagnostic Criteria

  • • Baseline EF 45%
  • • Current EF 35%
  • • IV diuretic requirement

Applicable To

  • • Acute exacerbation of chronic heart failure with both systolic and diastolic dysfunction

Important Notes

  • • Ensure documentation captures both acute and chronic elements.
Ancillary Codes

Additional codes that may be used with this diagnosis

I11.0

Hypertensive heart disease with heart failure

Use when hypertension is a contributing factor.

I13.0

Hypertensive heart and chronic kidney disease with heart failure

Use when CKD is also present.

E87.70

Fluid overload

Use when fluid overload is documented.

Frequently Asked Questions

What is the ICD-10 code for chronic combined systolic and diastolic heart failure?

The ICD-10 code for chronic combined systolic and diastolic heart failure is I50.42. It is used when both systolic and diastolic dysfunction are present chronically.

How do you code acute on chronic combined heart failure?

Use ICD-10 code I50.43 for acute on chronic combined systolic and diastolic heart failure, indicating an acute exacerbation of chronic heart failure.

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