ICD-10 Coding for Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia(I50.23, F01.C11)
Complete ICD-10-CM coding and documentation guide for Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia
I50.2-I50.4Primary Range
Heart failure codes including systolic, diastolic, and combined heart failure
Covers heart failure with mid-range ejection fraction, coded as systolic heart failure.
F01.-Primary Range
Vascular dementia codes
Covers multi-infarct dementia, a type of vascular dementia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I50.23 | Acute on chronic systolic (congestive) heart failure | Use when EF is documented as 41-49% and symptoms of heart failure are present. |
|
| F01.C11 | Vascular dementia, severe, with behavioral disturbance | Use when there is evidence of multiple infarcts and documented behavioral disturbances. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for heart failure with mid-range ejection fraction
Essential facts and insights about Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia
Primary ICD-10-CM Codes for heart failure with multiple infarct dementia range ejection fraction
Decision Criteria
clinical Criteria
- EF between 41-49% with heart failure symptoms
Applicable To
- Heart failure with mid-range ejection fraction (HFmrEF)
Clinical Validation Requirements
- Ejection fraction between 41-49% confirmed by echocardiogram
- Symptoms such as fatigue, dyspnea, and edema
Code-Specific Risks
- Misclassification as diastolic heart failure
- Use of unspecified codes
Coding Notes
- Ensure EF is documented within the specified range to avoid miscoding.
F01.C11 - Vascular dementia, severe, with behavioral disturbance
Use when there is evidence of multiple infarcts and documented behavioral disturbances.
Applicable To
- Multi-infarct dementia with behavioral symptoms
Excludes
- Alzheimer's disease (G30.-)
- Unspecified dementia (F03.-)
Clinical Validation Requirements
- MRI/CT evidence of multiple infarcts
- Documented cognitive decline and behavioral symptoms
Coding Notes
Document imaging findings and specify the type of dementia to ensure accurate coding.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia 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 heart failure management, Regulatory: Non-compliance with coding standards, Financial: Reduced reimbursement
Mitigation Strategy
Ensure EF is documented in all heart failure cases, Train staff on importance of EF documentation
Impact
Clinical: Misrepresentation of patient condition, Regulatory: Non-compliance with coding guidelines, Financial: Potential claim denials
Mitigation Strategy
Document specific type of dementia, Include imaging findings in records
Impact
Reimbursement: Lower reimbursement due to unspecified coding, Compliance: Non-compliance with coding guidelines, Data Quality: Poor data quality affecting clinical decision-making
Mitigation Strategy
Document EF and specify type of heart failure to use specific codes.
Impact
Reimbursement: Potential denial of claims, Compliance: Non-compliance with documentation standards, Data Quality: Inaccurate representation of patient condition
Mitigation Strategy
Ensure MRI/CT findings are included in the medical record.
Impact
Inadequate documentation of EF leading to miscoding
Mitigation Strategy
Regular audits of echocardiogram reports and clinical notes
Impact
Lack of imaging evidence for vascular dementia
Mitigation Strategy
Ensure all dementia diagnoses are supported by imaging
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 Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia
Use these documentation templates to ensure complete and accurate documentation for Heart Failure with Mid-Range Ejection Fraction and Multi-Infarct Dementia. These templates include all required elements for proper coding and billing.
Patient with HFmrEF and vascular dementia
Specialty: Cardiology and NeurologyRequired Elements
- Ejection fraction percentage
- Heart failure symptoms
- Imaging findings
- Cognitive and behavioral assessments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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