ICD-10 Coding for Diastolic Dysfunction(I50.31, I50.32, I50.33)
Complete ICD-10-CM coding and documentation guide for Diastolic Dysfunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diastolic Dysfunction
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I50.31 | Acute diastolic (congestive) heart failure | Use when there is acute decompensation of diastolic heart failure. |
|
| I50.32 | Chronic diastolic (congestive) heart failure | Use for chronic diastolic heart failure with stable symptoms. |
|
| I50.33 | Acute on chronic diastolic (congestive) heart failure | Use for acute exacerbation of chronic diastolic heart failure. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for diastolic dysfunction
Essential facts and insights about Diastolic Dysfunction
Primary ICD-10-CM Codes for diastolic dysfunction
Decision Criteria
clinical Criteria
- Presence of acute symptoms and echocardiographic evidence.
Applicable To
- Acute decompensated diastolic heart failure
Excludes
- Chronic diastolic heart failure (I50.32)
Clinical Validation Requirements
- E/e' >14 on echocardiogram
- LA volume index >34 mL/m²
- BNP >400 pg/mL
Code-Specific Risks
- Ensure documentation specifies 'acute' and links to heart failure.
Coding Notes
- Ensure acute nature is documented with clinical evidence.
I50.32 - Chronic diastolic (congestive) heart failure
Use for chronic diastolic heart failure with stable symptoms.
Applicable To
- Chronic stable diastolic heart failure
Excludes
- Acute diastolic heart failure (I50.31)
Clinical Validation Requirements
- EF ≥50% with diastolic parameters
- Stable diuretic regimen
Coding Notes
Ensure chronic nature is documented with clinical evidence.
I50.33 - Acute on chronic diastolic (congestive) heart failure
Use for acute exacerbation of chronic diastolic heart failure.
Applicable To
- Acute exacerbation of chronic diastolic heart failure
Clinical Validation Requirements
- Worsening edema
- Elevated BNP levels
Coding Notes
Ensure documentation reflects both acute and chronic conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypertensive heart disease with heart failure
I11.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diastolic Dysfunction 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 generic treatment plans., Regulatory: Fails to meet coding specificity requirements., Financial: May result in denied claims.
Mitigation Strategy
Always specify 'diastolic' or 'systolic' in documentation.
Impact
Reimbursement: Incorrect acuity can lead to improper reimbursement., Compliance: May result in compliance issues with coding standards., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies acuity (acute, chronic, or acute on chronic).
Impact
Reimbursement: May result in lower reimbursement if not linked., Compliance: Fails to meet documentation standards., Data Quality: Leads to inaccurate clinical records.
Mitigation Strategy
Explicitly link diastolic dysfunction to heart failure in documentation.
Impact
Failure to document acuity can lead to audit findings.
Mitigation Strategy
Ensure all documentation specifies acuity.
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 Diastolic Dysfunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diastolic Dysfunction
Use these documentation templates to ensure complete and accurate documentation for Diastolic Dysfunction. These templates include all required elements for proper coding and billing.
Acute on Chronic Diastolic Heart Failure
Specialty: CardiologyRequired Elements
- Acuity of heart failure
- Echocardiogram findings
- BNP levels
- Symptoms and NYHA class
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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