ICD-10-CM Code I50.9
Heart failure, unspecified
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.I50.9 is a billable ICD code used to specify a diagnosis of heart failure, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
The ICD code I50 is used to code Acute decompensated heart failure
Acute decompensated heart failure (ADHF) is a sudden worsening of the signs and symptoms of heart failure, which typically includes difficulty breathing (dyspnea), leg or feet swelling, and fatigue. ADHF is a common and potentially serious cause of acute respiratory distress. The condition is caused by severe congestion of multiple organs by fluid that is inadequately circulated by the failing heart. An attack of decompensation can be caused by underlying medical illness, such as myocardial infarction, infection, or thyroid disease.
| Specialty: | Cardiology |
| MeSH Code: | D006333 |
| ICD 9 Code: | 428.0 |
Acute interstitial pulmonary edema. Note enlarged heart size, apical vascular redistribution ( circle ), and small bilateral pleural effusions ( arrow ).
Coding Notes for I50.9 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Biventricular (heart) failure NOS
- Cardiac, heart or myocardial failure NOS
- Congestive heart disease
- Congestive heart failure NOS
- Right ventricular failure (secondary to left heart failure)
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Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Fluid overload - instead, use code E87.70
MS-DRG Mapping
- DRG Group #222-227 - Cardiac defibrillator implant with cardiac catheterization with ami or hf or shock with MCC.
- DRG Group #222-227 - Cardiac defibrillator implant with cardiac catheterization with ami or hf or shock without MCC.
- DRG Group #222-227 - Cardiac defibrillator implant with cardiac catheterization without ami or hf or shock with MCC.
- DRG Group #222-227 - Cardiac defibrillator implant with cardiac catheterization without ami or hf or shock without MCC.
- DRG Group #222-227 - Cardiac defibrillator implant without cardiac catheterization with MCC.
- DRG Group #222-227 - Cardiac defibrillator implant without cardiac catheterization without MCC.
- DRG Group #291-293 - Heart failure and shock with MCC.
- DRG Group #291-293 - Heart failure and shock with CC.
- DRG Group #291-293 - Heart failure and shock without CC or MCC.
- DRG Group #793 - Full term neonate with major problems.
Related Concepts SNOMET-CT
- Chronic combined systolic and diastolic heart failure (disorder)
- Acute right-sided congestive heart failure (disorder)
- Acute exacerbation of chronic congestive heart failure (disorder)
- Hypertensive heart AND chronic kidney disease with congestive heart failure (disorder)
- Acute right heart failure (disorder)
- Hypertensive heart AND chronic kidney disease stage 2 (disorder)
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
- This is a manifestation code for use in a secondary position
ICD-10-CM Alphabetical Index References for 'I50.9 - Heart failure, unspecified'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I50.9. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code I50.9 and a single ICD9 code, 428.9 is an approximate match for comparison and conversion purposes.
Parent Code: I50 - Heart failure