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Home/Diagnosis/ICD-10 Coding for Right-Sided Congestive Heart Failure

ICD-10 Coding for Right-Sided Congestive Heart Failure

I50.811
I50.812
I50.813

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

Also Known as:
Right Heart Failure
Right Ventricular Failure
Right-Sided CHF
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Key Information: ICD-10 Coding for Right-Sided Congestive Heart Failure

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

Use ICD-10 code I50.811 for acute right heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute right heart failure

Billable Code
I50.811
Billable

Diagnostic Criteria

  • • Symptoms such as ascites, jugular venous distension
  • • Imaging showing RV dilation
  • • BNP >400 pg/mL

Applicable To

  • • Acute right-sided CHF

Important Notes

  • • Ensure documentation includes specific symptoms and diagnostic findings.

Chronic right heart failure

Billable Code
I50.812
Billable

Diagnostic Criteria

  • • Stable symptoms such as bilateral edema
  • • Maintenance therapy documentation

Applicable To

  • • Chronic right-sided CHF

Important Notes

  • • Ensure chronicity is clearly documented.

Acute on chronic right heart failure

Billable Code
I50.813
Billable

Diagnostic Criteria

  • • Worsening edema or weight gain
  • • Elevated BNP levels

Applicable To

  • • Acute decompensation of chronic right CHF

Important Notes

  • • Document both acute and chronic symptoms and treatments.

Right heart failure due to left heart failure

Billable Code
I50.814
Billable

Diagnostic Criteria

  • • Documentation of left ventricular dysfunction
  • • Echocardiogram showing EF <40%

Applicable To

  • • Right CHF secondary to left ventricular systolic dysfunction

Important Notes

  • • Document the relationship between right and left heart failure.
Ancillary Codes

Additional codes that may be used with this diagnosis

R18.0

Ascites

Use to document ascites as a symptom of right heart failure.

R60.1

Generalized edema

Document generalized edema as a symptom of chronic right heart failure.

R06.02

Orthopnea

Document orthopnea as a symptom of acute on chronic right heart failure.

Frequently Asked Questions

What is the ICD-10 code for right-sided CHF?

The ICD-10 code for right-sided congestive heart failure varies by acuity: I50.811 for acute, I50.812 for chronic, and I50.813 for acute on chronic.

How do you document right-sided CHF?

Documentation for right-sided CHF should include acuity (acute, chronic), laterality, symptoms, and diagnostic findings such as BNP levels and echocardiogram results.

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