ICD-9-CM diagnosis code | |
---|---|
Diagnosis | Description |
Heart failure | 428.0 Congestive heart failure, unspecified |
428.1 Left heart failure | |
428.2 Systolic heart failure |
2014 ICD-9-CM Diagnosis Code 428.22 Chronic systolic heart failure 2014 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 Short description: Chr systolic hrt failure.
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.”
Specifically, the question sites a patient admitted for acute CHF. Coding Clinic’s answer was that if the “provider links acute CHF with diastolic dysfunction, assign code I50.31, Acute diastolic (congestive) heart failure, as the principal diagnosis.
heart failure due to hypertension with chronic kidney disease ( I13.-) cardiac arrest ( I46.-) Code annotations containing back-references to I50.2: Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
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.”
Heart failure with reduced ejection fraction (HFrEF), also called systolic failure: The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation.
ICD-10 code I50. 2 for Systolic (congestive) heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Systolic congestive heart failure occurs when the heart does not pump blood effectively. It may happen when the heart muscle is too weak or when another health problem prevents it from circulating blood efficiently.
A new term, HFmrEF, has been introduced when the EF is 41-49 and coded as systolic failure.
There is growing recognition that congestive heart failure (CHF) caused by a predominant abnormality in diastolic function (ie, diastolic heart failure) is both common and causes significant morbidity and mortality.
9 – Heart Failure, Unspecified. Code I50. 9 is the diagnosis code used for Heart Failure, Unspecified.
Congestive Heart Failure (CHF) Congestive heart failure (CHF) is a chronic progressive condition that affects the pumping power of your heart muscle. While often referred to simply as heart failure, CHF specifically refers to the stage in which fluid builds up within the heart and causes it to pump inefficiently.
ICD-10 Code for Diastolic (congestive) heart failure- I50. 3- Codify by AAPC.
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.
Chronic systolic heart failure occurs over a period of time, typically caused by other heart conditions such as high blood pressure, a damaged heart, or coronary artery disease.
428.20 is a legacy non-billable code used to specify a medical diagnosis of systolic heart failure, unspecified. 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 428.20 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.