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Home/Diagnosis/ICD-10 Coding for Systolic Congestive Heart Failure

ICD-10 Coding for Systolic Congestive Heart Failure

I50.21
I50.22
I50.23

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

Also Known as:
Systolic CHF
Heart Failure with Reduced Ejection Fraction (HFrEF)
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Key Information: ICD-10 Coding for Systolic Congestive Heart Failure

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

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

Primary ICD-10-CM Codes

Acute systolic heart failure

Billable Code
I50.21
Billable

Diagnostic Criteria

  • • Presence of acute symptoms with EF <50%

Applicable To

  • • Acute decompensated heart failure with reduced ejection fraction

Important Notes

  • • Ensure documentation specifies 'acute' and includes EF measurement.

Chronic systolic heart failure

Billable Code
I50.22
Billable

Diagnostic Criteria

  • • Ejection fraction persistently <50% on treatment

Applicable To

  • • Chronic heart failure with reduced ejection fraction

Important Notes

  • • Ensure documentation specifies 'chronic' and includes EF measurement.

Acute on chronic systolic heart failure

Billable Code
I50.23
Billable

Diagnostic Criteria

  • • Baseline EF <50% with new acute symptoms

Applicable To

  • • Acute exacerbation of chronic heart failure with reduced ejection fraction

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and includes EF measurement.
Ancillary Codes

Additional codes that may be used with this diagnosis

I11.0

Hypertensive heart disease with heart failure

Use when hypertension is the underlying cause.

Frequently Asked Questions

How do you code systolic congestive heart failure in ICD-10?

Systolic congestive heart failure is coded in ICD-10 as I50.21 for acute, I50.22 for chronic, and I50.23 for acute-on-chronic cases, depending on the clinical presentation and ejection fraction.

What is the ICD-10 code for acute systolic heart failure?

The ICD-10 code for acute systolic heart failure is I50.21, used when there is a sudden onset of symptoms with an ejection fraction less than 50%.

When should I use I50.22 for heart failure coding?

Use I50.22 for chronic systolic heart failure when the patient has persistent symptoms and an ejection fraction consistently below 50%.

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