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Wiki Heart Failure (Quick Question)

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shawty2102004

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In a progress note, the Dr. documents CHF (428.0) and Chronic Diastolic Heart Failure (428.32) and also gives a plan of care for both. Can't I code them both together? I'm just a little confused by the Heart failures. Thank you to anyone who responds! :)
 
According to the ICD 9 Coding Handbook, if a physician documents both CHF and Diastolic/Systolic Heart Failure, you would actually code both codes, with the Diastolic/Systolic Failure as primary (or ahead of the CHF) and the CHF as a secondary code.

Reason being that CHF is not an inherent component of either systolic or diastolic heart failure.
 
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kimberlina25 said:
According to the ICD 9 Coding Handbook, if a physician documents both CHF and Diastolic/Systolic Heart Failure, you would actually code both codes, with the Diastolic/Systolic Failure as primary (or ahead of the CHF) and the CHF as a secondary code.

Reason being that CHF is not an inherent component of either systolic or diastolic heart failure.
Click to expand...

That's what I thought. Thank you so much for reassuring me! :)
 
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