ICD-10-CM Code for Combined systolic (congestive) and diastolic (congestive) heart failure I50.4

ICD-10 code I50.4 for Combined systolic (congestive) and diastolic (congestive) heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

Official Long Descriptor

Combined systolic (congestive) and diastolic (congestive) heart failure

Combined systolic and diastolic left ventricular heart failure
Heart failure with reduced ejection fraction and diastolic dysfunction

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 I50.4 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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ICD-9-CM CROSSWALK

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Have a question about ICD-10-CM Code I50.4 ? Start a discussion here

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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