ICD-10 Coding for Acute on Chronic HFpEF(I50.33)
Complete ICD-10-CM coding and documentation guide for Acute on Chronic HFpEF. 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 HFpEF
I50.3-I50.33Primary Range
Heart failure codes for diastolic heart failure
This range includes codes for diastolic heart failure, specifically acute on chronic conditions.
Key Information: ICD-10 code for acute on chronic HFpEF
Essential facts and insights about Acute on Chronic HFpEF
Primary ICD-10-CM Code for acute on chronic hfpef
Decision Criteria
clinical Criteria
- Documented EF ≥50% with acute decompensation signs
documentation Criteria
- Explicit mention of 'acute on chronic diastolic heart failure'
Applicable To
- Acute exacerbation of chronic diastolic heart failure
- Decompensated diastolic heart failure
Clinical Validation Requirements
- BNP >400 pg/mL indicating acute decompensation
- Echocardiogram showing EF ≥50%
- Chest X-ray with vascular congestion
Code-Specific Risks
- Incorrectly coding as unspecified heart failure
- Missing documentation of EF or acute/chronic status
Coding Notes
- Ensure documentation specifies 'acute on chronic' and includes EF and clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fluid overload
E87.70Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute on Chronic HFpEF to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.33.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure EF is measured and documented within 24 months., Include EF in all heart failure assessments.
Impact
Reimbursement: May lead to lower DRG assignment and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and outcomes.
Mitigation Strategy
Query the provider for clarification on acuity and type of heart failure.
Impact
Inadequate documentation of heart failure type and acuity.
Mitigation Strategy
Implement standardized templates for heart failure documentation.
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 HFpEF, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute on Chronic HFpEF
Use these documentation templates to ensure complete and accurate documentation for Acute on Chronic HFpEF. These templates include all required elements for proper coding and billing.
Hospital Admission for Acute on Chronic HFpEF
Specialty: CardiologyRequired Elements
- Ejection fraction measurement
- BNP levels
- Clinical signs of decompensation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Acute on Chronic HFpEF? Ask your questions below.