ICD-10 Coding for Acute HFpEF(I50.31)
Complete ICD-10-CM coding and documentation guide for Acute HFpEF. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute HFpEF
I50.3-I50.33Primary Range
Heart failure with preserved ejection fraction codes
This range includes codes for heart failure with preserved ejection fraction, specifically acute and chronic forms.
Key Information: ICD-10 code for acute HFpEF
Essential facts and insights about Acute HFpEF
Primary ICD-10-CM Code for acute hfpef
Decision Criteria
clinical Criteria
- Ejection fraction ≥50% with acute symptoms
documentation Criteria
- Explicit mention of 'acute diastolic heart failure' or 'acute HFpEF'
Applicable To
- Acute heart failure with preserved ejection fraction
Clinical Validation Requirements
- Ejection fraction ≥50%
- Acute decompensation symptoms such as pulmonary edema
- Elevated BNP or NT-proBNP levels
Code-Specific Risks
- Misclassification as chronic diastolic heart failure
- Use of unspecified heart failure codes
Coding Notes
- Ensure documentation explicitly states 'acute diastolic heart failure' or 'acute HFpEF'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute HFpEF to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.31.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always document the acuity (acute, chronic, acute on chronic).
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Triggers audits due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure EF and type are documented to use specific codes like I50.31.
Impact
High audit risk when EF and type are documented but unspecified codes are used.
Mitigation Strategy
Ensure documentation includes EF and specifies diastolic or HFpEF.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute HFpEF, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute HFpEF
Use these documentation templates to ensure complete and accurate documentation for Acute HFpEF. These templates include all required elements for proper coding and billing.
Acute decompensated HFpEF admission
Specialty: CardiologyRequired Elements
- Ejection fraction percentage
- BNP or NT-proBNP levels
- Symptoms of acute decompensation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Acute HFpEF? Ask your questions below.