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

ICD-10 Coding for Systolic Heart Failure

I50.21
I50.22
I50.23

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

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

Essential facts and insights about ICD-10 Coding for Systolic 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

  • • Presence of acute heart failure symptoms and LVEF ≤40%

Applicable To

  • • Acute heart failure with reduced ejection fraction

Important Notes

  • • Ensure acute symptoms and reduced EF are documented.

Chronic systolic (congestive) heart failure

Billable Code
I50.22
Billable

Diagnostic Criteria

  • • LVEF ≤40%
  • • Chronic symptoms managed with medication

Applicable To

  • • Chronic heart failure with reduced ejection fraction

Important Notes

  • • Document chronic management and EF status.

Acute on chronic systolic (congestive) heart failure

Billable Code
I50.23
Billable

Diagnostic Criteria

  • • LVEF ≤40%
  • • Acute exacerbation on a background of chronic symptoms

Applicable To

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

Important Notes

  • • Ensure documentation of both acute and chronic symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

I11.0

Hypertensive heart disease with heart failure

Use as a primary code when hypertension is the underlying cause.

Z79.01

Long-term (current) use of anticoagulants

Use when anticoagulant therapy is part of the treatment plan.

I13.0

Hypertensive heart and chronic kidney disease with heart failure

Use when both hypertension and CKD are present.

Frequently Asked Questions

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

The ICD-10 code for systolic heart failure is I50.2-, with specific codes for acute (I50.21), chronic (I50.22), and acute on chronic (I50.23) conditions.

How is systolic heart failure documented?

Document systolic heart failure by specifying type, acuity, and ejection fraction (EF ≤40%). Include acute or chronic status and any underlying causes.

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