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Heart Failure (Quick Question)

  1. Exclamation Heart Failure (Quick Question)
    Medical Coding Books
    In a progress note, the Dr. documents CHF (428.0) and Chronic Diastolic Heart Failure (428.32) and also gives a plan of care for both. Can't I code them both together? I'm just a little confused by the Heart failures. Thank you to anyone who responds!

  2. #2
    Post
    Chronic Diastolic Heart Failure (428.32) is a more specific code, so only this should be coded.
    Girish Dadhich, CPC

  3. Default
    According to the ICD 9 Coding Handbook, if a physician documents both CHF and Diastolic/Systolic Heart Failure, you would actually code both codes, with the Diastolic/Systolic Failure as primary (or ahead of the CHF) and the CHF as a secondary code.

    Reason being that CHF is not an inherent component of either systolic or diastolic heart failure.
    Last edited by cordelia; 06-19-2011 at 11:11 PM.

  4. Default
    Quote Originally Posted by kimberlina25 View Post
    According to the ICD 9 Coding Handbook, if a physician documents both CHF and Diastolic/Systolic Heart Failure, you would actually code both codes, with the Diastolic/Systolic Failure as primary (or ahead of the CHF) and the CHF as a secondary code.

    Reason being that CHF is not an inherent component of either systolic or diastolic heart failure.
    That's what I thought. Thank you so much for reassuring me!

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