ICD-10 Coding for Acute on Chronic Heart Failure with Preserved Ejection Fraction(I50.33)
Complete ICD-10-CM coding and documentation guide for Acute on Chronic Heart Failure with Preserved Ejection Fraction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute on Chronic Heart Failure with Preserved Ejection Fraction
I50.3-I50.33Primary Range
Diastolic (congestive) heart failure
This range includes codes for diastolic heart failure, which is the classification for HFpEF.
Key Information: ICD-10 code for acute on chronic heart failure with preserved ejection fraction
Essential facts and insights about Acute on Chronic Heart Failure with Preserved Ejection Fraction
Primary ICD-10-CM Code for acute on chronic heart failure with preserved ejection fraction
Decision Criteria
clinical Criteria
- EF >50% with acute symptoms and chronic history
documentation Criteria
- Explicit mention of 'acute on chronic diastolic heart failure'
Applicable To
- Acute on chronic heart failure with preserved ejection fraction
Excludes
- Systolic heart failure
- Right heart failure
Clinical Validation Requirements
- Ejection fraction >50%
- Symptoms of acute decompensation such as dyspnea or edema
- Prior diagnosis of chronic diastolic heart failure
Code-Specific Risks
- Misclassification if EF is not documented
- Confusion with systolic heart failure if EF is borderline
Coding Notes
- Ensure EF is documented as >50% to support HFpEF classification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypertensive heart disease with heart failure
I11.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute on Chronic Heart Failure with Preserved Ejection Fraction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.33.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: May result in coding audits., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always specify diastolic or systolic in documentation., Include EF values in notes.
Impact
Reimbursement: Incorrect coding may lead to lower DRG assignment., Compliance: May result in coding audits and denials., Data Quality: Affects clinical data accuracy and patient records.
Mitigation Strategy
Ensure documentation explicitly states diastolic dysfunction or HFpEF.
Impact
Risk of incorrect coding due to lack of specificity in documentation.
Mitigation Strategy
Ensure thorough documentation of EF and heart failure type.
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 on Chronic Heart Failure with Preserved Ejection Fraction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute on Chronic Heart Failure with Preserved Ejection Fraction
Use these documentation templates to ensure complete and accurate documentation for Acute on Chronic Heart Failure with Preserved Ejection Fraction. These templates include all required elements for proper coding and billing.
Acute exacerbation of chronic HFpEF
Specialty: CardiologyRequired Elements
- Ejection fraction
- BNP levels
- Symptoms of decompensation
- Link to diastolic dysfunction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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