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Home/Diagnosis/ICD-10 Coding for Heart Failure

ICD-10 Coding for Heart Failure

I50.21
I50.31

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

Also Known as:
Congestive Heart Failure
Cardiac Failure
CHF
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Key Information: ICD-10 Coding for Heart Failure

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

Use ICD-10 code I50.21 for acute systolic (congestive) heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute systolic (congestive) heart failure

Billable Code
I50.21
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of acute symptoms and EF ≤40%

Applicable To

  • • Acute heart failure with reduced ejection fraction (HFrEF)

Important Notes

  • • Ensure documentation specifies 'acute' and provides EF value.

Acute diastolic (congestive) heart failure

Billable Code
I50.31
Billable

Diagnostic Criteria

clinical_criteria:
  • • Ejection fraction >50%
  • • Elevated BNP levels

Applicable To

  • • Acute heart failure with preserved ejection fraction (HFpEF)

Important Notes

  • • Document EF and specify 'acute' in the clinical notes.
Ancillary Codes

Additional codes that may be used with this diagnosis

I11.0

Hypertensive heart disease with heart failure

Use when heart failure is due to hypertension.

I13.0

Hypertensive heart and CKD with heart failure

Use when heart failure is associated with CKD and hypertension.

Frequently Asked Questions

What is the ICD-10 code for heart failure?

The ICD-10 code for heart failure varies by type: I50.21 for acute systolic, I50.31 for acute diastolic, and I50.9 for unspecified heart failure.

How do you code heart failure with preserved ejection fraction?

Heart failure with preserved ejection fraction (HFpEF) is coded as I50.31 for acute cases and I50.32 for chronic cases, based on EF >50%.

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