ICD-10 Coding for Acute on Chronic Diastolic Heart Failure(I50.33)
Complete ICD-10-CM coding and documentation guide for Acute on Chronic Diastolic Heart Failure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute on Chronic Diastolic Heart Failure
I50.3-I50.33Primary Range
Heart failure codes specific to diastolic dysfunction
This range includes codes for diastolic heart failure, specifying acute, chronic, and acute on chronic conditions.
Hypertensive heart and kidney disease codes
These codes are used when heart failure is due to hypertension or combined with kidney disease.
Key Information: ICD-10 code for acute on chronic diastolic heart failure
Essential facts and insights about Acute on Chronic Diastolic Heart Failure
Primary ICD-10-CM Code for acute on chronic diastolic heart failure
Decision Criteria
clinical Criteria
- Echocardiogram showing preserved ejection fraction with diastolic dysfunction
documentation Criteria
- Explicit mention of 'acute on chronic diastolic heart failure'
Applicable To
- Acute exacerbation of chronic diastolic heart failure
Clinical Validation Requirements
- Echocardiogram showing LVEF ≥50% with diastolic dysfunction
- BNP >100 pg/mL
- Documentation of acute exacerbation or decompensation
Code-Specific Risks
- Misclassification if 'diastolic' is not specified in documentation
- Incorrect sequencing with hypertensive heart disease
Coding Notes
- Ensure documentation specifies 'diastolic' to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute on chronic combined systolic and diastolic heart failure
I50.43Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute on Chronic Diastolic Heart Failure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.33.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Educate providers on the importance of specifying heart failure type., Use templates that prompt for type specification.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreases accuracy of clinical data and patient records.
Mitigation Strategy
Query the provider for clarification on the type of heart failure.
Impact
Risk of audits due to unspecified heart failure types.
Mitigation Strategy
Implement documentation templates that require specification of heart failure type.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute on Chronic Diastolic Heart Failure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute on Chronic Diastolic Heart Failure
Use these documentation templates to ensure complete and accurate documentation for Acute on Chronic Diastolic Heart Failure. These templates include all required elements for proper coding and billing.
Acute exacerbation of chronic diastolic heart failure
Specialty: CardiologyRequired Elements
- Patient symptoms and history
- Echocardiogram results
- BNP levels
- Treatment adjustments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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