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ICD-10 Coding for Biventricular Heart Failure(I50.82)

Complete ICD-10-CM coding and documentation guide for Biventricular Heart Failure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Biventricular FailureBoth Ventricles Impaired

Related ICD-10 Code Ranges

Complete code families applicable to Biventricular Heart Failure

I50.82Primary Range

Biventricular Heart Failure

Primary code for documenting biventricular heart failure, indicating failure of both ventricles.

Types of Left Ventricular Failure

Used to specify the type of left ventricular failure (systolic, diastolic, or combined) when coding biventricular heart failure.

Key Information: ICD-10 code for biventricular heart failure

Essential facts and insights about Biventricular Heart Failure

The ICD-10 code for biventricular heart failure is I50.82, which requires documentation of both ventricles failing.

Primary ICD-10-CM Code for biventricular heart failure

Biventricular heart failure
Billable Code

Decision Criteria

clinical Criteria

  • Documented failure of both ventricles

coding Criteria

  • Use in conjunction with left ventricular failure type code

Applicable To

  • Failure of both ventricles

Excludes

  • I50.814 - Right heart failure due to left heart failure
  • I50.81x - Isolated right heart failure

Clinical Validation Requirements

  • Echocardiogram showing biventricular dysfunction
  • BNP >400 pg/mL
  • Clinical documentation of both ventricles failing

Code-Specific Risks

  • Incorrectly coding as isolated right or left heart failure.

Coding Notes

  • Ensure documentation specifies both ventricles are failing.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Type of left ventricular failure

I50.2x-I50.4x
Specify the type of left ventricular failure when coding biventricular heart failure.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Right heart failure due to left heart failure

I50.814
Use only if right heart failure is secondary to left heart failure.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Biventricular Heart Failure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.82.

Impact

Clinical: Lack of specificity in patient records., Regulatory: Potential non-compliance with coding standards., Financial: May affect reimbursement rates.

Mitigation Strategy

Always specify the type of heart failure in documentation.

Impact

Reimbursement: Incorrect DRG assignment, potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Do not use I50.82 if right heart failure is due to left heart failure; use I50.814 instead.

Impact

Using I50.82 with codes for isolated right heart failure.

Mitigation Strategy

Educate coders on proper code combinations and exclusions.

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 Biventricular Heart Failure, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Biventricular Heart Failure

Use these documentation templates to ensure complete and accurate documentation for Biventricular Heart Failure. These templates include all required elements for proper coding and billing.

Acute decompensated biventricular heart failure

Specialty: Cardiology

Required Elements

  • History of present illness
  • Physical exam findings
  • Echocardiogram results
  • BNP levels
  • Assessment and plan

Example Documentation

68M with 3-day history of worsening dyspnea and bilateral edema. JVD present, rales bilateral lung bases. Echo shows biventricular dilation, EF 28% (systolic dysfunction), elevated BNP 850 pg/mL. Assessment: Acute decompensated biventricular systolic heart failure.

Examples: Poor vs. Good Documentation

Poor Documentation Example
CHF exacerbation
Good Documentation Example
Acute on chronic biventricular heart failure with reduced EF (25%), systolic dysfunction
Explanation
The good example specifies the type of heart failure and provides clinical details like EF.

Need help with ICD-10 coding for Biventricular Heart Failure? Ask your questions below.

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