Is this statement accurate? Thoughts

midnightsun1369

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I was looking for information on cardiogenic pulmonary edema and came across the statement in red, is this a true statement? Is this documented somewhere.

Do not assume that acute pulmonary edema will adequately describe severe heart failure; the “acute” severity of heart failure itself must be specifically documented. The terms “exacerbation” and “decompensated” may be used since for coding purposes they translate as “acute.” The type of acute heart failure must also be described as systolic, diastolic or combined systolic/diastolic; otherwise the severity will not be reflected in the assigned code. Describing the type of acute heart failure as systolic or diastolic “dysfunction” will also result in correct coding.

Thanks for your help.
 

AmandaBriggs

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Coding Clinic, Second Quarter 2013 Page:33 Effective with discharges: July 8, 2013 states the following:
"Question: Coding Clinic, Third Quarter 2008, p. 12, states "decompensated indicates that there has been a flare-up (acute phase) of a chronic condition." Should this general definition of decompensated be applied when assigning ICD-10-CM codes as well? For example, what is the appropriate ICD-10-CM code assignment for a diagnosis of chronic systolic heart failure, currently decompensated?
Answer: Assign code I50.23, Acute on chronic systolic heart failure, for decompensated systolic heart failure. As previously stated, 'decompensated' indicates that there has been a flare-up (acute phase) of a chronic condition."

Hope this helps!
 
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