ICD 10 Coding Alert

Reader Question:

Include These Inclusion Terms into Your Heart Failure Code Choices

Question: What are the new ICD-10-CM heart failure codes for acute on chronic right heart failure, acute right heart failure, and chronic right heart failure, and what inclusion terms will we need to know?

Idaho Subscriber

Answer: The new ICD-10-CM 2018 code for acute on chronic right heart failure is I50.813 (Acute on chronic right heart failure). The new inclusion terms include the following:

  • Acute on chronic isolated right heart failure
  • Acute on chronic (isolated) right ventricular failure
  • Acute decompensation of chronic (isolated) right ventricular failure
  • Acute exacerbation of chronic (isolated) right ventricular failure.

For acute right heart failure, you will look to I50.811 (Acute right heart failure). The inclusion terms include:

  • Acute isolated right heart failure
  • Acute (isolated) right ventricular failure.

For chronic right heart failure, you will choose I50.812 (Chronic right heart failure). The inclusion terms for this code are:

  • Chronic isolated right heart failure
  • Chronic (isolated) right ventricular failure.  


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