Acute on chronic diastolic (congestive) heart failure
ICD-10 I50.33 is a billable code used to indicate a diagnosis of acute on chronic diastolic (congestive) heart failure.
Acute on chronic diastolic heart failure (HF) is a condition characterized by the sudden exacerbation of chronic diastolic heart failure, where the heart's ability to fill with blood during diastole is impaired. This condition often presents with symptoms such as shortness of breath, fatigue, and fluid retention, leading to pulmonary congestion and peripheral edema. The anatomy involved primarily includes the left ventricle, which fails to relax adequately, resulting in increased pressures in the heart and lungs. Disease progression can be influenced by factors such as hypertension, coronary artery disease, and diabetes, which can lead to worsening heart function over time. Diagnostic considerations include echocardiography to assess diastolic function, natriuretic peptide levels to evaluate heart failure severity, and clinical assessment of symptoms. The acute nature of this condition necessitates prompt medical intervention to prevent further complications and improve patient outcomes.
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
I50.33 covers acute exacerbations of chronic diastolic heart failure, typically seen in patients with a history of heart failure who present with worsening symptoms such as dyspnea and edema.
I50.33 should be used when a patient with chronic diastolic heart failure experiences an acute worsening of symptoms, differentiating it from stable chronic heart failure or acute systolic heart failure.
Documentation should include a detailed history of heart failure symptoms, recent changes in clinical status, diagnostic test results (e.g., echocardiogram, BNP levels), and treatment plans addressing the acute exacerbation.
