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Home/Diagnosis/ICD-10 Coding for Congestive Heart Failure with Diastolic Dysfunction

ICD-10 Coding for Congestive Heart Failure with Diastolic Dysfunction

I50.31
I50.32
I50.33

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

Also Known as:
Diastolic Heart Failure
Heart Failure with Preserved Ejection Fraction (HFpEF)
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Key Information: ICD-10 Coding for Congestive Heart Failure with Diastolic Dysfunction

Essential facts and insights about ICD-10 Coding for Congestive Heart Failure with Diastolic Dysfunction

Use ICD-10 code I50.31 for acute diastolic (congestive) heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute diastolic (congestive) heart failure

Billable Code
I50.31
Billable

Diagnostic Criteria

  • • Acute dyspnea and orthopnea within 48 hours
  • • Echocardiogram showing E/e' ratio >14
  • • Chest X-ray indicating vascular redistribution

Applicable To

  • • Acute heart failure with preserved ejection fraction

Important Notes

  • • Ensure documentation specifies acute onset and links symptoms to diastolic dysfunction.

Chronic diastolic (congestive) heart failure

Billable Code
I50.32
Billable

Diagnostic Criteria

  • • NYHA Class II-III symptoms for over 3 months
  • • Stable diuretic regimen
  • • Baseline elevated NT-proBNP

Applicable To

  • • Chronic heart failure with preserved ejection fraction

Important Notes

  • • Ensure chronicity is well-documented with ongoing treatment plans.

Acute on chronic diastolic (congestive) heart failure

Billable Code
I50.33
Billable

Diagnostic Criteria

  • • Prior heart failure hospitalization
  • • 20% increase in BNP from baseline
  • • Documented fluid overload

Applicable To

  • • Acute exacerbation of chronic diastolic heart failure

Important Notes

  • • Document both acute and chronic aspects clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

J81.0

Pulmonary edema

Use when pulmonary edema is present with acute diastolic heart failure.

E87.70

Fluid overload

Use when fluid overload is documented in chronic diastolic heart failure.

N18.5

Chronic kidney disease, stage 5

Use when CKD stage 5 is present with heart failure.

Frequently Asked Questions

What is the ICD-10 code for congestive heart failure with diastolic dysfunction?

The ICD-10 code for congestive heart failure with diastolic dysfunction is I50.31 for acute cases, I50.32 for chronic, and I50.33 for acute on chronic.

How do you document diastolic heart failure?

Document diastolic heart failure by specifying symptom onset, echocardiogram results, and treatment plans, ensuring differentiation between acute and chronic conditions.

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