Heart Failure ICD 10 codes Coding Tips

We have their has been significant changes in the number of diagnosis codes in ICD 10 version. When we were using ICD 9 codes we never has to confusion in choosing the correct codes except few complicate ones like sepsis, pregnancy complications etc. But, in ICD 10 codes it is sometimes difficult to find an easy codes. For example, earlier we had only few ICD 9 codes for Heart failure but the new ICD 10 codes for heart failure has increased significantly. Category 428 was used in ICD 9 for coding heart failure ICD 10 we have I50 category to be used for coding heart failure. Now, if you compare both these category, you will find ICD 10 codes have turned alphanumeric and have high number of codes compared to ICD 9 for heart failure.

Heart Failure ICD 10 codes Coding Tips

Read also: Osteoarthritis ICD 10 codes for Medical coders

Heart Failure ICD 10 & ICD 9 difference

Let us take an example of coding ICD 9 and ICD 10 codes for heart failure.

ICD 9 code
Code Description
ICD 10 code
428
Heart Failure
I50
428.1
Left ventricular failure
I50.1
428.2_
Systolic heart failure
I50.2_
428.3_
Dyastolic heart failure
I50.3_
428.4_
combined systolic and diastolic heart failure
I50.4_
428.9
Heart failure, unspecified
I50.9
 

Heart Failure ICD 10 codes list

               

There is number of ICD 10 new codes have been added in 2022. These ICD 10 codes are very specific and will give more accurate information about the diagnosis. Checkout the below list of ICD 10 code for Heart Failures.

I50.1                Left ventricular failure

I50.20             Unspecified systolic (congestive) heart failure

I50.21             Acute systolic (congestive) heart failure

I50.22            Chronic systolic (congestive) heart failure

I50.23            Acute on chronic systolic (congestive) heart failure

I50.30           Unspecified diastolic (congestive) heart failure

I50.31            Acute diastolic (congestive) heart failure

I50.32            Chronic diastolic (congestive) heart failure

I50.33            Acute on chronic diastolic (congestive) heart failure

I50.40           Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

I50.41            Acute combined systolic (congestive) and diastolic (congestive) heart failure

I50.42           Chronic combined systolic (congestive) and diastolic (congestive) heart failure

I50.43           Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

Other Synonyms Include:

congestive heart failure icd 10
chronic diastolic heart failure
diastolic heart failure
chronic systolic heart failure
systolic heart failure
acute on chronic diastolic heart failure
acute on chronic systolic heart failure
acute decompensated heart failure
acute on chronic heart failure
acute systolic heart failure
chronic heart failure
heart failure with preserved ejection fraction
heart failure with reduced ejection fraction
hypertensive heart disease with heart failure
acute diastolic heart failure
acute heart failure
acute on chronic congestive heart failure
hypertensive heart disease without heart failure
right heart failure
right sided heart failure
acute congestive heart failure
chronic diastolic congestive heart failure
chronic systolic congestive heart failure
decompensated heart failure
chronic combined systolic and diastolic heart failure
chronic congestive heart failure
diastolic congestive heart failure
acute on chronic diastolic congestive heart failure
acute on chronic systolic congestive heart failure
biventricular heart failure
end stage heart failure
chronic heart failure with preserved ejection fraction icd 10
coding guidelines for congestive heart failure
hypertension with heart failure
hypertensive heart failure
hypertensive heart disease without heart failure
systolic congestive heart failure
Chronic right sided congestive heart failure (chf)
Congestive heart failure (chf)
Congestive heart failure (chf) exacerbation (flareup)
Congestive heart failure (chf) following cardiac surgery
Congestive heart failure (chf) following noncardiac surgery
Congestive heart failure (chf) with cardiomyopathy
Congestive heart failure (chf), acute
Congestive heart failure (chf), chronic
Congestive heart failure (chf), chronic with acute flare up
Congestive heart failure as post-operative complication of cardiac surgery
Congestive heart failure as post-operative complication of non-cardiac surgery
Congestive heart failure as postoperative complication of cardiac surgery
Congestive heart failure as postoperative complication of non cardiac surgery
Congestive heart failure due to cardiomyopathy
Congestive heart failure due to valvular disease
Congestive heart failure stage b
Congestive heart failure stage b due to ischemic cardiomyopathy

For more information about Heart failure coding in ICD 10, coder can refer below website as well.

https://www.acc.org/

http://www.icd10monitor.com

http://icd10cmcode.com/

 

2 Thoughts to “Heart Failure ICD 10 codes Coding Tips”

  1. Dee Dee

    I am coding risk adjustment for a NP that will diagnosis diastolic dysfunction. How do I code this? It is very confusing!

    1. if you do not get any specific code for diastolic dysfunction in ICD 10 codebook..then you can use other disorder or diseases of heart ICD 10 code I51.89

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