ICD-9 Code 428.42 Chronic combined systolic and diastolic heart failure. ICD-9 Index; Chapter: 390–459; Section: 420-429; Block: 428 Heart failure; 428.42 - Chr syst/diastl hrt fail
cardiorenal (disease) I13.10. ICD-10-CM Diagnosis Code I13.10. Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease.
Coding Hypertensive Heart and CKD If a patient has all three conditions documented — HTN, heart disease, and CKD — look to combination category I13 for code assignment. Codes for the three-disease combination are numerically arranged by the degree of CKD and then further differentiated by the presence or absence of heart failure.
Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I13.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Hyp hrt & chr ...
ICD-10 Code for Chronic diastolic (congestive) heart failure- I50. 32- Codify by AAPC.
Table 1ICD-9-CM diagnosis codeDiagnosisDescriptionHeart failure428.40 Unspecified428.41 Acute428.42 Chronic42 more rows•Mar 29, 2017
3.
Heart failure, unspecifiedI50. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.The 2022 edition of ICD-10-CM I50. 9 became effective on October 1, 2021.This is the American ICD-10-CM version of I50. 9 - other international versions of ICD-10 I50.
In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9 (unspecified). ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.
ICD-9-CM Diagnosis Code 150.9 : Malignant neoplasm of esophagus, unspecified site.
Diastolic heart failure, technically referred to as "heart failure with preserved ejection fraction" (HFpEF), is a condition where the lower left chamber of the heart (left ventricle) is not able to fill properly with blood during the diastolic phase, reducing the amount of blood pumped out to the body.
Heart failure with preserved ejection fraction (HFpEF), also called diastolic failure (or diastolic dysfunction): The left ventricle loses its ability to relax normally (because the muscle has become stiff). The heart can't properly fill with blood during the resting period between each beat.
HFpEF is characterized by abnormal diastolic function: there is an increase in the stiffness of the left ventricle, which causes a decrease in left ventricular relaxation during diastole, with resultant increased pressure and/or impaired filling.
ICD-10-CM Code for Systolic (congestive) heart failure I50. 2.
9 – Heart Failure, Unspecified. Code I50. 9 is the diagnosis code used for Heart Failure, Unspecified.
ICD-10 code I50. 22 for Chronic systolic (congestive) heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
428.42 is a legacy non-billable code used to specify a medical diagnosis of chronic combined systolic and diastolic heart failure. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
References found for the code 428.42 in the Index of Diseases and Injuries:
Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided heart failure
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
ICD-10-CM classifies HTN by type as essential or primary (categories I10–I13) and secondary (category I15). Report code I10 Essential (primary) hypertension for individuals who meet the criteria for hypertension and do not have any comorbid cardiac or renal disease. This code includes “high blood pressure” but is not meant to be used when elevated blood pressure is noted in an individual that has not been diagnosed with HTN. Report cases of transient HTN with R03.0 Elevated blood-pressure reading, without diagnosis of hypertension.
But don’t stress; there are a limited number of codes for HTN — only nine codes for primary hypertension and five codes for secondary hypertension.
Coding Hypertensive Heart Disease. Hypertensive heart disease can cause serious health problems and is the No. 1 cause of death associated with HTN. It refers to heart conditions caused by elevated blood pressure.
Hypertension is the medical term for elevated blood pressure — a serious medical condition in which the pressure of the circulating blood against the arterial walls is high enough that it may eventually cause health problems such as heart disease and stroke.
Hypertension (HTN) is a worldwide epidemic, affecting an estimated 1.13 billion people globally and nearly half of all adults in the United States. That’s roughly 108 million Americans, and only about one in four have their blood pressure under control.
If the provider specifically documents a different cause for the heart condition unrelated to high blood pressure, then the HTN and heart condition should be coded separately and not linked via a combination code. In such cases, sequence according to the circumstances of the admission/encounter.