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

ICD-10 Coding for Combined Systolic and Diastolic Heart Failure

I5041
I5042
I5043

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

Also Known as:
Mixed Heart Failure
Heart Failure with Reduced and Preserved Ejection Fraction
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Key Information: ICD-10 Coding for Combined Systolic and Diastolic Heart Failure

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

Use ICD-10 code I5041 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
I5041
Billable

Diagnostic Criteria

clinical:
  • • Presence of both systolic and diastolic dysfunction on echocardiogram
documentation:
  • • Explicit mention of 'combined systolic and diastolic heart failure'

Applicable To

  • • Acute heart failure with both systolic and diastolic dysfunction

Important Notes

  • • Ensure documentation specifies both types of dysfunction.

Chronic combined systolic and diastolic heart failure

Billable Code
I5042
Billable

Applicable To

  • • Chronic heart failure with both systolic and diastolic dysfunction

Important Notes

  • • Document chronicity and both dysfunctions clearly.

Acute on chronic combined systolic and diastolic heart failure

Billable Code
I5043
Billable

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 if hypertension is a contributing factor.

I13.2

Hypertensive heart and chronic kidney disease with heart failure

Use if CKD is present with hypertension.

I50.814

Right heart failure due to left heart failure

Use if biventricular involvement is documented.

Frequently Asked Questions

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

The ICD-10 codes for combined systolic and diastolic heart failure are I5041 for acute, I5042 for chronic, and I5043 for acute on chronic cases.

How do you document combined systolic and diastolic heart failure?

Documentation should specify both systolic and diastolic dysfunction, include echocardiogram results, and mention acuity level (acute, chronic, or acute on chronic).

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