Diastolic (congestive) heart failure
ICD-10 I50.3 is a used to indicate a diagnosis of diastolic (congestive) heart failure.
Diastolic (congestive) heart failure, classified under I50.3, is characterized by the heart's inability to fill with blood adequately during diastole, leading to increased pressure in the heart and lungs. Clinically, patients may present with symptoms such as shortness of breath, fatigue, and fluid retention, often exacerbated by physical activity or lying flat. The anatomy involved includes the left ventricle, which fails to relax properly, resulting in elevated left atrial pressure and pulmonary congestion. Disease progression can lead to worsening symptoms and increased hospitalizations, often associated with comorbidities such as hypertension and diabetes. Diagnostic considerations include echocardiography to assess diastolic function, natriuretic peptide levels, and clinical evaluation of symptoms. Accurate diagnosis is crucial, as management strategies differ significantly from those for systolic heart failure.
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
I50.3 covers diastolic heart failure, also known as heart failure with preserved ejection fraction (HFpEF). It includes conditions where the heart muscle is stiff and does not relax properly, leading to inadequate filling of the heart chambers.
I50.3 should be used when the patient exhibits symptoms and diagnostic findings consistent with diastolic heart failure, particularly when ejection fraction is preserved. It is essential to differentiate it from systolic heart failure (I50.2) based on echocardiographic findings.
Documentation should include clinical symptoms (e.g., dyspnea, edema), results from echocardiograms showing preserved ejection fraction, and any relevant laboratory tests such as BNP levels. Comprehensive notes on patient history and response to treatment are also critical.
