Is cardiomegaly intrinsic to chf?

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?
 

kevbshields

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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.
 

sleepycats

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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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