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Congestive Heart Failure - Do I use code

  1. #1
    Location
    Philadelphia Pennsylvania
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    76
    Exclamation Congestive Heart Failure - Do I use code
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    Do I use code 428.0 for chronic and acute congestive heart failure?

  2. #2
    Default
    Yes. we can.

    As per the ICD9 only the Systolic or Diastolic heart failures are classified based on acute and/or chronic condition. Hence, It is appropriate to report 428.0 for this condition.

    Hope this helps!

    Thanks,
    Abdul Saleem CPC

  3. #3
    Location
    Philadelphia Pennsylvania
    Posts
    76
    Thumbs up
    Thank you so much for your help!

  4. Default
    If all he has documented is "CHF" then all you can code is 428.0.

    If he sees a lot of CHF patients (ie cardiology specialty) encourage the physicians to be more specific (when known). To have a physician/practice that specializes in treating CHF and have repeatative coding of 428.0 is lazy documentation.

    It would also be hard to justify continued documentation and coding of "CHF 428.0" after echos and other diagnositics have been performed

    428.0 CONGESTIVE HEART FAILURE, UNSPECIFIED
    428.1 LEFT HEART FAILURE

    428.2x SYSTOLIC HEART FAILURE
    428.20 UNSPECIFIED
    428.21 ACUTE
    428.22 CHRONIC
    428.23 ACUTE ON CHRONIC

    428.3x DIASTOLIC HEART FAILURE
    428.30 UNSPECIFIED
    428.31 ACUTE
    428.32 CHRONIC
    428.33 ACUTE ON CHRONIC

    428.4x COMBINED SYSTOLIC & DIASTOLIC HEART FAILURE
    428.40 UNSPECIFIED
    428.41 ACUTE
    428.42 CHRONIC
    428.43 ACUTE ON CHRONIC

    428.9 HEART FAILURE, UNSPECIFIED

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