Question re: diastolic dysfunction

TBILIER

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I have several providers that will document diastolic dysfunction but will code CHF. When queried they will say and argue that they are the same thing.
I saw in 2002 AAPC had an article that they are assumed to be together. Does anyone know where I might find anything on the correct documentation and coding for these conditions. I do not have access to the coding clinic. Thank you in advance for your help. Theresa Bilier CPC
 

thomas7331

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This is from the first quarter 2009 Coding Clinic, but aside from the reference to ICD-9 code, the information is still current. In ICD-10, 'diastolic dysfunction' without further specification is coded as I51.9 - Heart disease, unspecified. Someone in your organization probably needs to educate the providers - these terms may mean the same things to them, but they don't classify to the same codes if they don't document it that way.

Question:
Is a diagnosis of systolic or diastolic dysfunction coded the same as heart failure?

Answer:
No, diastolic dysfunction without mention of heart failure is indexed to 429.9, Heart disease, unspecified. It is not appropriate to assume a patient is in heart failure when only "diastolic dysfunction" or "systolic dysfunction" is documented.
 

TBILIER

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Thank you for your help Thomas. I do not have access to the coding clinic but I will try to see if I can get a copy somewhere. Thank you Again.
 
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