Combined systolic (congestive) and diastolic (congestive) heart failure
ICD-10 I50.4 is a used to indicate a diagnosis of combined systolic (congestive) and diastolic (congestive) heart failure.
I50.4 refers to combined systolic (congestive) and diastolic (congestive) heart failure, a condition characterized by the heart's inability to pump blood effectively, leading to congestion in the lungs and systemic circulation. This condition involves both the left and right sides of the heart, resulting in a complex interplay of symptoms such as shortness of breath, fatigue, and fluid retention. The anatomy involved includes the ventricles, which may be weakened (systolic failure) or stiff (diastolic failure), leading to impaired filling and ejection of blood. Disease progression can vary, often exacerbated by comorbidities such as hypertension, coronary artery disease, and diabetes. Diagnostic considerations include echocardiography, BNP levels, and clinical assessment of symptoms. Accurate diagnosis is crucial for appropriate management, which may involve lifestyle modifications, medications such as diuretics and ACE inhibitors, and in severe cases, surgical interventions like heart transplantation.
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
I50.4 encompasses patients diagnosed with both systolic and diastolic heart failure, often presenting with symptoms of fluid overload and reduced cardiac output. It includes conditions where both types of heart failure coexist, complicating the clinical picture.
I50.4 should be used when a patient exhibits signs and symptoms of both systolic and diastolic heart failure, as opposed to using I50.1 or I50.2, which are specific to one type of heart failure. Accurate assessment of the patient's clinical status is essential for appropriate code selection.
Documentation should include detailed clinical assessments, echocardiogram results indicating both systolic and diastolic dysfunction, BNP levels, and a comprehensive treatment plan. Clear documentation of symptoms and their impact on daily activities is also necessary.
