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ICD-10-CM Code for Acute on chronic systolic (congestive) heart failure I50.23

ICD-10 code I50.23 for Acute on chronic systolic (congestive) heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

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Official Long Descriptor

Acute on chronic systolic (congestive) heart failure

I50.2

Excludes1: combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)

Code also: end stage heart failure, if applicable (I50.84)

I50

Excludes2: cardiac arrest (I46.-)
neonatal cardiac failure (P29.0)

Code first heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
heart failure due to hypertension (I11.0)
heart failure due to hypertension with chronic kidney disease (I13.-)
heart failure following surgery (I97.13-)
obstetric surgery and procedures (O75.4)
rheumatic heart failure (I09.81)

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM I50.23 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Telemedicine and Home Health Professional services
[I]Hi Tewisdom:) It could be well are you the selecting the right diagnosis codes reflecting the documentation(most Z codes should be last unless designated first listed Z dx codes)? As example Z74 bl... [ Read More ]
Diagnosis Sequencing
Hi Gator:) This is basically true what you learned. But keep in mind some dx codes per ICD10 manual directions and audit process/algorithms in the Encoder program will tell you to put another dx as f... [ Read More ]
dietitian billing: Hi i need help with some dietitian billing. any experts? what are the proper cpt codes for billing a dietitian visit?
Hi Dravekar :) Amanda is right your diet gurus cannot bill CPT 99202-99215 unless a clinician such as MD DO NP or PA. Dieticians not allowed to use those codes. CPT 99402, 97802 can be used and 98960... [ Read More ]
Hypertension vs. Hypertensive heart disease...
Hi Delmore Per the ICD10 manual states Hypertensive heart disease can come from CHKD dx N18 or Cardiac Heart conditions with dx block I50-I51. Thus if patient has heart condition and hypertension pe... [ Read More ]
Diastolic function grade 1 ICD 10 help
This is true. Poster - was there clear documentation of heart failure? [QUOTE="thomas7331, post: 511578, member: 5404"] I think you mean to say 'dysfunction', not 'function', is that correct? I think... [ Read More ]
Diastolic function grade 1 ICD 10 help
[QUOTE="Mnmark442, post: 511541, member: 565536"] Hi, I code echo reports and I was advised if I ever see a grade 1-4 for diastolic function to code as I50.30, however after some research I do see so... [ Read More ]
Diastolic function grade 1 ICD 10 help
I think that coding I50.20 and I50.30 are correct. When I code this from an encoder, it does not prompt for grade level. I found as follows: Failure -> Heart -> Search for type -> Diastolic -> Diasto... [ Read More ]
Diastolic function grade 1 ICD 10 help
Hi, I code echo reports and I was advised if I ever see a grade 1-4 for diastolic function to code as I50.30, however after some research I do see some threads that list I51.89. I was told since a gr... [ Read More ]
Acute and Chronic Congestive Heart Failure
I50.21 and I50.22 can be coded separately. There is a 'code also' note if I50.84 is documented and present. I would not assume that it is acute on chronic unless otherwise stated as such. You can alwa... [ Read More ]
Acute and Chronic Congestive Heart Failure
My provider has listed I50.21 & I50.22 in his progress note. Would this automatically be considered acute on chronic and should be reported with I50.23 or can the patient have both acute and chronic a... [ Read More ]
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