Congestion changes with ICD-10

No, not talking about nasal congestion. Talking about Congestive heart failure

In ICD-10, the term “congestive” is considered a non-essential term for heart failure. ICD-10 has no code for “congestive” heart failure; the term is included in code I50.9 - Unspecified heart failure.

In order to assign appropriate ICD-10 code for heart failure, documentation of the term “congestive” is not required. HOWEVER,  documentation needs to specify SYSTOLIC - DIASTOLIC or COMBINED etiology. 

When documentation of systolic and/or diastolic heart failure is present, “congestive” is included in the code(s) I50.2 Systolic (congestive) heart failure, I50.3 Diastolic (congestive) heart failure or I50.4 Combined systolic (congestive)and Diastolic (congestive) heart failure.

We'll talk about nasal congestion.... some other time.


 

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