ICD-10 Coding for Acute on Chronic Systolic Heart Failure(I50.23)
Complete ICD-10-CM coding and documentation guide for Acute on Chronic Systolic 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 Systolic Heart Failure
I50.2-I50.23Primary Range
Systolic (congestive) heart failure
This range includes codes for systolic heart failure, with I50.23 specifically for acute on chronic cases.
Hypertensive heart disease with heart failure
Used when hypertension is a causal factor for heart failure.
Key Information: ICD-10 code for acute on chronic systolic heart failure
Essential facts and insights about Acute on Chronic Systolic Heart Failure
Primary ICD-10-CM Code for acute on chronic systolic heart failure
Decision Criteria
clinical Criteria
- Presence of acute symptoms on top of chronic heart failure baseline.
documentation Criteria
- Explicit mention of 'acute on chronic' in the medical record.
Applicable To
- Acute decompensation of chronic systolic heart failure
Excludes
- Diastolic heart failure (I50.3-)
Clinical Validation Requirements
- LVEF <40%
- BNP >400 pg/mL
- Echocardiogram showing reduced ejection fraction
Code-Specific Risks
- Incorrectly coding as unspecified heart failure (I50.9)
Coding Notes
- Ensure documentation specifies 'acute on chronic' and includes LVEF values.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypertensive heart disease with heart failure
I11.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute on Chronic Systolic Heart Failure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I50.23.
Impact
Clinical: Inaccurate representation of heart failure severity., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure echocardiogram results are included in the medical record., Educate providers on the importance of documenting LVEF.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider for specifics on systolic/diastolic and acuity.
Impact
Risk of audits due to lack of specificity in heart failure documentation.
Mitigation Strategy
Implement regular training sessions for providers on documentation requirements.
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 Systolic Heart Failure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute on Chronic Systolic Heart Failure
Use these documentation templates to ensure complete and accurate documentation for Acute on Chronic Systolic Heart Failure. These templates include all required elements for proper coding and billing.
Acute exacerbation of chronic systolic heart failure
Specialty: CardiologyRequired Elements
- Patient symptoms
- LVEF measurement
- BNP levels
- Underlying conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Acute on Chronic Systolic Heart Failure? Ask your questions below.