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Wiki Is cardiomegaly intrinsic to chf?

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Mouf1818

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Can anybody tell me if cardiomegaly is intrinsic to chf? Some people are telling me you can code both while others are saying no. I thought chf always shows signs of an enlarged heart. How can you tell if something is intrinsic?
 
According to ICD you do not code signs, symptoms that are integral to the disease process--unless otherwise instructed to do so. Cardiomegaly is typical of CHF. As to whether you can or cannot code it, I fail to see the benefit in coding it, but there's probably little agreement between coders.
 
I was taught that cardiomegaly was intrisic to CHF and to only code the CHF as the cardiomegaly is a sign/symptom of CHF.
 
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