Wiki CHF with exacerbation

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Code: I50.9

Code Name: ICD-10 Code for Heart failure, unspecified

Block: Other forms of heart disease (I30-I52)

Details: Heart failure, unspecified
Biventricular (heart) failure NOS
Cardiac, heart or myocardial failure NOS
Congestive heart disease
Congestive heart failure NOS
Right ventricular failure (secondary to left heart failure)

Excludes 2: fluid overload (E87.70)
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)

Excludes1: neonatal cardiac failure (P29.0)

Excludes2: cardiac arrest (I46.-)"

Guidelines: Diseases of the circulatory system (I00-I99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

For more details on I50.9, ICD-10 Code for Heart failure, unspecified, visit:


Best answers
CHF is 428.0. The dx states "congestive heart failure exacerbation". I can't find a more detailed code to support the exacerbation....

is there a code for this?

Thank you


Best answers
When you look up CHF in the front of your book
Failure, Heart, congestive- Under congestive it states (compensated) (decompensated)
Exacerbation basically means a worsening or a decompensation of an illness.
So If no other specific info was provided then I use 428.0 as well when the physician lists it as CHF Exac.

If you look under Failure , Heart, congestive, decompensated it gives you 428.0 just like the above does.
I hope this helps and that I did not confuse you!