Acute on chronic right heart failure
ICD-10 I50.813 is a billable code used to indicate a diagnosis of acute on chronic right heart failure.
Acute on chronic right heart failure (CHF) is a complex cardiovascular condition characterized by the sudden exacerbation of chronic right heart failure symptoms. Clinically, patients may present with signs of fluid overload, such as peripheral edema, jugular venous distension, and ascites, alongside symptoms of dyspnea and fatigue. The anatomy involved primarily includes the right ventricle, pulmonary arteries, and systemic venous return pathways. Disease progression often involves a history of chronic pulmonary hypertension, left heart failure, or valvular heart disease, which can lead to right ventricular dysfunction over time. Diagnostic considerations include echocardiography to assess right ventricular size and function, BNP levels to evaluate heart failure severity, and imaging studies to rule out pulmonary embolism or other acute causes. Management typically requires hospitalization for diuretics, oxygen therapy, and possibly inotropic support, emphasizing the need for careful monitoring and adjustment of treatment plans based on patient response.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I50.813 covers acute exacerbations of chronic right heart failure, which may be due to underlying conditions such as chronic obstructive pulmonary disease (COPD), pulmonary hypertension, or left heart failure. It is crucial to document the chronic nature of the heart failure and the acute episode to support this diagnosis.
I50.813 should be used when there is a clear documentation of chronic right heart failure with an acute exacerbation. If the patient presents with only chronic heart failure without acute symptoms, then I50.9 or I50.1 may be more appropriate.
Documentation should include a detailed history of the patient's chronic heart failure, recent changes in symptoms, results from diagnostic tests (like echocardiograms or BNP levels), and treatment plans that reflect the acute management of the exacerbation.
