Chronic combined systolic (congestive) and diastolic (congestive) heart failure
ICD-10 I50.42 is a billable code used to indicate a diagnosis of chronic combined systolic (congestive) and diastolic (congestive) heart failure.
Chronic combined systolic and diastolic heart failure, also known as congestive heart failure (CHF), is a complex condition characterized by the heart's inability to pump blood effectively, leading to inadequate perfusion of tissues and fluid overload. This condition involves both the systolic (the heart's ability to contract) and diastolic (the heart's ability to relax) phases of the cardiac cycle, resulting in a range of symptoms including dyspnea, fatigue, and edema. The anatomy involved primarily includes the left and right ventricles, atria, and the associated valves. Disease progression often leads to worsening symptoms and increased hospitalizations, making early diagnosis and management crucial. Diagnostic considerations include echocardiograms, BNP (B-type natriuretic peptide) levels, and clinical assessments to differentiate between heart failure types and stages. Management typically involves lifestyle modifications, pharmacotherapy, and in some cases, surgical interventions, highlighting the importance of a multidisciplinary approach in treating patients with this condition.
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
I50.42 encompasses chronic heart failure that exhibits both systolic and diastolic dysfunction. This includes patients with a history of myocardial infarction, hypertension, and other cardiovascular diseases that contribute to the dual failure of the heart's pumping and filling capabilities.
I50.42 should be used when both systolic and diastolic heart failure are present, as indicated by clinical assessments and diagnostic tests. If only one type of heart failure is diagnosed, the respective code (I50.41 or I50.43) should be utilized.
Documentation for I50.42 should include detailed clinical notes on the patient's symptoms, diagnostic test results (e.g., echocardiograms, BNP levels), and treatment plans that reflect the complexity of managing both systolic and diastolic heart failure.
