2025 ICD-10-CM code I50.21
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Heart Failure - Systolic (congestive) heart failure Diseases of the circulatory system (I00-I99) Feed
Acute systolic (congestive) heart failure represents a sudden onset of the heart's inability to pump enough blood to meet the body's needs.
ICD-10 codes do not utilize modifiers.
Medical necessity for the diagnosis of I50.21 is established by the presence of clinical symptoms and signs consistent with acute decompensated heart failure.Diagnostic testing is required to confirm the diagnosis and guide treatment decisions. The medical necessity of any subsequent treatment provided will depend on the clinical situation and the patient's response to initial management.
The clinical responsibility for I50.21 involves a comprehensive evaluation and management of the patient's acute heart failure episode. This includes obtaining a detailed history and physical examination, ordering and interpreting diagnostic tests, establishing a diagnosis, and implementing appropriate treatment strategies, which might involve medication management, fluid balance optimization, and possibly referral to specialized cardiac care as needed.Ongoing monitoring and follow-up care are also crucial for managing the patient's condition and preventing future complications.
In simple words: Acute systolic heart failure means the heart suddenly can't pump enough blood to the rest of your body. This can cause shortness of breath, swelling in your legs and feet, and tiredness. Doctors will use tests to check your heart and figure out what's causing it.
I50.21, Acute systolic (congestive) heart failure, signifies a sudden and severe reduction in the heart's ability to effectively pump blood, leading to inadequate tissue perfusion. This condition is characterized by the heart's inability to maintain sufficient cardiac output to meet the metabolic demands of the body, often manifesting with symptoms like shortness of breath, edema, and fatigue.The diagnosis necessitates a thorough clinical evaluation, including a history of the presenting symptoms, physical examination findings, and potentially diagnostic tests such as echocardiography, electrocardiography, and blood work to assess cardiac function and identify underlying causes.
Example 1: A 70-year-old male with a history of hypertension presents to the emergency department with severe shortness of breath, orthopnea, and lower extremity edema.His echocardiogram reveals reduced ejection fraction and signs of acute pulmonary edema.I50.21 is assigned., A 65-year-old female with known coronary artery disease experiences sudden onset of chest pain, shortness of breath, and diaphoresis.She is diagnosed with an acute myocardial infarction leading to acute heart failure, and I50.21 is coded., A 55-year-old patient with valvular heart disease develops acute decompensated heart failure requiring hospitalization and intensive medical management.I50.21 is used in conjunction with codes specifying the underlying valvular pathology.
Detailed history of present illness focusing on symptoms like shortness of breath, edema, and fatigue;Physical examination findings, including vital signs, heart sounds, lung sounds, and assessment of edema;Results of diagnostic tests such as echocardiogram, electrocardiogram, and chest x-ray;Treatment plan including medication administration, fluid balance management, and any other interventions provided;Physician's notes with a clear clinical narrative supporting the diagnosis.
** I50.21 is specifically for acute systolic heart failure.Other codes are available for chronic heart failure, diastolic heart failure, and combined systolic and diastolic heart failure.Always code to the highest level of specificity supported by the clinical record.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly assigned to ICD-10 codes; they are associated with the procedures and services performed to treat the condition.The RVUs will vary based on the complexity of the services rendered and the place of service.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Cardiology, Internal Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Urgent Care Facility