Chronic systolic (congestive) heart failure
ICD-10 I50.22 is a billable code used to indicate a diagnosis of chronic systolic (congestive) heart failure.
Chronic systolic heart failure, also known as congestive heart failure (CHF), is a condition characterized by the heart's inability to pump sufficient blood to meet the body's needs. This condition primarily affects the left ventricle, leading to reduced cardiac output and increased pressure in the heart and lungs. Patients may present with symptoms such as dyspnea, fatigue, edema, and orthopnea. The anatomy involved includes the heart's chambers, valves, and surrounding vasculature. Disease progression typically involves a gradual decline in cardiac function, often exacerbated by comorbidities such as hypertension, coronary artery disease, and diabetes. Diagnostic considerations include echocardiography to assess ejection fraction, BNP levels to evaluate heart failure severity, and clinical assessments to differentiate between systolic and diastolic heart failure. 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
I50.22 specifically covers chronic systolic heart failure, which is characterized by a reduced ejection fraction. It may also include patients with a history of heart failure exacerbations and those requiring ongoing management for heart failure symptoms.
I50.22 should be used when the patient has a documented diagnosis of chronic systolic heart failure with a reduced ejection fraction. It is important to differentiate it from acute heart failure (I50.21) and diastolic heart failure (I50.30) based on clinical presentation and diagnostic findings.
Documentation should include a detailed history of the patient's heart condition, results from echocardiograms showing ejection fraction, clinical symptoms, and any treatment plans or medications prescribed for heart failure management.
