ICD-10-CM Code for Systolic (congestive) heart failure I50. 2.
If you have systolic heart failure, it means your heart does not contract effectively with each heartbeat. If you have diastolic heart failure, it means your heart isn't able to relax normally between beats. Both types of left-sided heart failure can lead to right-sided heart failure.
There is no code within the ICD-10-CM code set for diastolic dysfunction. When you look up dysfunction, heart in the alphabetic index it leads to I51. 89 Other ill-defined heart disease and likely the use of the diastolic heart failure code applied to documentation of the term dysfunction would be denied.
9 – Heart Failure, Unspecified. Code I50. 9 is the diagnosis code used for Heart Failure, Unspecified.
Systolic dysfunction is clinically associated with left ventricular failure in the presence of marked cardiomegaly, while diastolic dysfunction is accompanied by pulmonary congestion together with a normal or only slightly enlarged ventricle.
Abnormalities in diastolic function can occur in the presence or absence of a clinical syndrome of heart failure and with normal or abnormal systolic function. Therefore, whereas diastolic dysfunction describes an abnormal mechanical property, diastolic heart failure describes a clinical syndrome.
When the provider has linked either diastolic or systolic dysfunction with acute or chronic heart failure, it should be coded as 'acute/chronic diastolic or systolic heart failure. ' If there is no provider documentation linking the two conditions, assign code I50. 9, Heart failure, unspecified.”
When the muscles of the heart become stiff, they can't relax properly, creating a condition known as diastolic dysfunction. This inflexibility prevents the heart's ventricles from filling completely, causing blood to back up in the organs.
Systolic dysfunction is defined as an ejection fraction of less than 40%, which indicates impaired myocardial contractility.
Systolic heart failure is a type of left-sided heart failure, otherwise known as left-ventricle heart failure. Systolic heart failure means that the heart does not pump efficiently, and does not contract the way it should between heartbeats. There are two types of left-ventricle heart failure.
I50. 1 - Left ventricular failure, unspecified. ICD-10-CM.
When heart failure becomes severe enough to cause symptoms requiring immediate medical treatment, it is called decompensated heart failure (DHF). On the other hand, if you have heart failure but your heart is still functioning well enough that you don't have symptoms, you have compensated heart failure.