Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
ICD-10 I50.40 is a billable code used to indicate a diagnosis of unspecified combined systolic (congestive) and diastolic (congestive) heart failure.
I50.40 refers to unspecified 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 can arise from various underlying causes, including coronary artery disease, hypertension, and valvular heart disease. Clinically, patients may present with symptoms such as dyspnea, fatigue, edema, and orthopnea. The anatomy involved includes the heart's ventricles, which may be dilated or hypertrophied, and the vascular system, which may show signs of congestion. Disease progression can lead to worsening heart function, increased hospitalizations, and ultimately, a higher risk of morbidity and mortality. Diagnostic considerations include echocardiography to assess ejection fraction, chest X-rays for pulmonary congestion, and laboratory tests for biomarkers like BNP. Accurate diagnosis is crucial for effective management and treatment planning.
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
I50.40 encompasses patients with both systolic and diastolic heart failure who do not have a specified type of heart failure documented. This includes cases where the heart's pumping ability is compromised without clear delineation between systolic or diastolic dysfunction.
I50.40 should be used when the patient's heart failure is not clearly classified as acute or chronic, or when both types of heart failure are present but not specified. It is important to differentiate this code from I50.41 and I50.42, which denote specific types of heart failure.
Documentation should include a comprehensive assessment of the patient's symptoms, diagnostic imaging results, laboratory findings, and any treatment plans. Clear notes indicating the absence of specific systolic or diastolic classification are essential for appropriate coding.
