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Home/Diagnosis/ICD-10 Coding for Congestive Cardiomyopathy

ICD-10 Coding for Congestive Cardiomyopathy

I42.0
I11.9

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

Also Known as:
Dilated Cardiomyopathy
Heart Muscle Disease
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Key Information: ICD-10 Coding for Congestive Cardiomyopathy

Essential facts and insights about ICD-10 Coding for Congestive Cardiomyopathy

Use ICD-10 code I42.0 for dilated cardiomyopathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Dilated cardiomyopathy

Billable Code
I42.0
Billable

Diagnostic Criteria

  • • Echocardiogram showing LV dilation and EF <45%
  • • Symptoms of heart failure such as shortness of breath and fatigue

Applicable To

  • • Congestive cardiomyopathy

Important Notes

  • • Ensure documentation specifies the type of cardiomyopathy to avoid using unspecified codes.

Hypertensive heart disease without heart failure

Billable Code
I11.9
Billable

Diagnostic Criteria

  • • History of hypertension with evidence of cardiac involvement

Applicable To

  • • Hypertensive cardiomyopathy

Important Notes

  • • Ensure hypertension is documented as the cause of cardiomyopathy.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.22

Chronic systolic heart failure

Use when heart failure is present alongside cardiomyopathy

I10

Essential (primary) hypertension

Use to specify underlying hypertension

Frequently Asked Questions

What is the ICD-10 code for congestive cardiomyopathy?

The ICD-10 code for congestive cardiomyopathy is I42.0, which is used for dilated cardiomyopathy including congestive types.

How is congestive cardiomyopathy documented?

Documentation should specify the type, etiology, and clinical findings such as echocardiogram results and symptoms.

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