High output heart failure
ICD-10 I50.83 is a billable code used to indicate a diagnosis of high output heart failure.
High output heart failure (HOHF) is a condition characterized by the heart's inability to meet the metabolic demands of the body despite an elevated cardiac output. This paradoxical situation often arises in conditions such as hyperthyroidism, anemia, arteriovenous fistulas, and sepsis, where the body's demand for blood flow exceeds the heart's capacity to supply it effectively. Clinically, patients may present with symptoms such as fatigue, palpitations, and dyspnea, often exacerbated by exertion. The anatomy involved primarily includes the heart's ventricles, which may be structurally normal but functionally impaired due to the excessive workload. Disease progression can lead to compensatory mechanisms, including ventricular hypertrophy and dilation, ultimately resulting in congestive heart failure if not managed appropriately. Diagnostic considerations include echocardiography to assess cardiac function, laboratory tests to identify underlying causes, and careful evaluation of the patient's clinical history. 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
I50.83 covers high output heart failure due to conditions such as hyperthyroidism, severe anemia, arteriovenous fistulas, and sepsis. Each of these conditions leads to increased metabolic demands that the heart must meet, resulting in high output failure.
I50.83 should be used when the patient presents with heart failure symptoms and has a documented elevated cardiac output due to specific underlying conditions. It is important to differentiate it from other heart failure types, such as systolic or diastolic heart failure, which have different management strategies.
Documentation should include a detailed clinical history, physical examination findings, laboratory results indicating underlying conditions, and imaging studies such as echocardiograms that demonstrate elevated cardiac output and heart function.
