Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
ICD-10 I50.43 is a billable code used to indicate a diagnosis of acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure.
I50.43 refers to acute on chronic combined systolic and diastolic heart failure, a condition characterized by the simultaneous presence of both systolic and diastolic dysfunction in the heart, leading to congestive heart failure. Clinically, patients may present with symptoms such as dyspnea, fatigue, edema, and orthopnea. The anatomy involved includes the left and right ventricles, which are responsible for pumping blood throughout the body. In chronic heart failure, the heart's ability to pump blood is compromised over time, often due to underlying conditions such as hypertension, coronary artery disease, or previous myocardial infarction. Acute exacerbations can occur due to factors like fluid overload, arrhythmias, or infections. Diagnostic considerations include echocardiography to assess ventricular function, natriuretic peptide levels, and clinical evaluation of symptoms. Proper diagnosis is crucial for effective management and treatment, which may involve diuretics, ACE inhibitors, beta-blockers, and lifestyle modifications.
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
I50.43 encompasses patients with both systolic and diastolic heart failure who experience an acute exacerbation of their chronic condition. This includes those with a history of heart failure who present with new or worsening symptoms.
I50.43 should be used when a patient has documented chronic heart failure with both systolic and diastolic dysfunction and is experiencing an acute worsening of symptoms. It is important to differentiate this from codes that represent only systolic or diastolic heart failure.
Documentation must include a clear history of chronic heart failure, evidence of both systolic and diastolic dysfunction, and details of the acute exacerbation, such as clinical symptoms and any relevant diagnostic tests.
