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

ICD-10 Coding for Unspecified Congestive Heart Failure

I50.9

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

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

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

Use ICD-10 code I50.9 for heart failure, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Heart failure, unspecified

Billable Code
I50.9
Billable

Diagnostic Criteria

documentation_criteria:
  • • Lack of specific type or acuity in documentation.
applicable_to:
  • • CHF NOS
  • • Cardiac decompensation
excludes:
  • • Systolic heart failure (I50.2-)
  • • Diastolic heart failure (I50.3-)
validation:
  • • BNP >400 pg/mL
  • • Echocardiogram results
  • • Symptoms like edema, dyspnea
notes:
  • • Ensure to query for more specific details if available to avoid using unspecified codes.
risks:
  • • Overuse due to vague documentation
  • • Potential lower reimbursement
Ancillary Codes

Additional codes that may be used with this diagnosis

E87.70

Fluid overload

Use if hypervolemia is documented without CHF specificity.

Frequently Asked Questions

What is the ICD-10 code for unspecified congestive heart failure?

The ICD-10 code for unspecified congestive heart failure is I50.9, used when the type and acuity are not documented.

How should unspecified CHF be documented?

Document CHF with specific details like ejection fraction and any associated conditions to avoid using unspecified codes.

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