End stage heart failure
ICD-10 I50.84 is a billable code used to indicate a diagnosis of end stage heart failure.
End stage heart failure (I50.84) represents the final phase of heart failure, where the heart's ability to pump blood effectively is severely compromised, leading to significant clinical symptoms and a high risk of mortality. Patients may present with profound fatigue, dyspnea at rest, and fluid retention, resulting in edema and ascites. The anatomy involved primarily includes the heart, particularly the left ventricle, which is often dilated and poorly functioning. Disease progression typically follows a chronic course, with patients experiencing acute exacerbations and gradual decline in functional capacity. Diagnostic considerations include echocardiography to assess ejection fraction, BNP levels to evaluate heart failure severity, and clinical assessments to monitor symptoms and response to treatment. Management may involve advanced therapies such as mechanical circulatory support or heart transplantation, highlighting the critical nature of this condition and the need for comprehensive care 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
I50.84 specifically covers patients diagnosed with end-stage heart failure, characterized by severe symptoms and significant limitations in daily activities. This includes patients requiring advanced therapies such as inotropes, mechanical support, or those awaiting heart transplantation.
I50.84 should be used when a patient exhibits clear signs of end-stage heart failure, such as persistent symptoms despite optimal medical therapy, significant functional impairment, or when advanced interventions are being considered.
Documentation should include a comprehensive assessment of the patient's heart function, symptom severity, treatment history, and any referrals for advanced therapies. Clinical notes should clearly indicate the patient's status as end-stage heart failure.
