2025 ICD-10-CM code I50.31
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Other forms of heart disease (I30-I5A) Diseases of the circulatory system (I00-I99) Feed
Acute diastolic (congestive) heart failure.
Medical necessity for coding I50.31 requires evidence of acute diastolic heart failure. This would involve documentation of signs and symptoms consistent with the diagnosis and results from diagnostic testing that support the presence of diastolic dysfunction. The severity of the condition and the need for hospitalization or intensive treatment should also be documented to support medical necessity.
Diagnosis and management of acute diastolic heart failure typically involves a cardiologist or other healthcare professional specializing in cardiovascular disease.Responsibilities include obtaining a thorough history and physical exam, ordering diagnostic tests (e.g., echocardiogram, blood tests), and implementing appropriate treatment strategies (e.g., medication management, fluid management, oxygen therapy).
In simple words: This code describes a sudden episode of a type of heart failure where the heart doesn't relax and fill properly, causing the heart to pump less blood and resulting in fluid build-up.
I50.31, Acute diastolic (congestive) heart failure, is an ICD-10-CM code that classifies a specific type of heart failure characterized by impaired relaxation and filling of the ventricles, leading to reduced cardiac output and congestion.This is distinct from systolic heart failure, which involves impaired contraction.The acute nature signifies a sudden onset or worsening of symptoms.
Example 1: A 68-year-old female presents to the emergency department with acute shortness of breath, orthopnea, and paroxysmal nocturnal dyspnea.Echocardiography reveals impaired diastolic function with preserved ejection fraction.This scenario would be coded with I50.31., A 75-year-old male with a history of hypertension is admitted to the hospital with worsening lower extremity edema, weight gain, and fatigue.He has new onset atrial fibrillation. Diagnostic testing confirms acute diastolic heart failure. This would be coded with I50.31, and any additional codes for atrial fibrillation and hypertension., A 55-year-old female with a history of poorly controlled diabetes and hypertension experiences sudden onset of chest pain, shortness of breath and dizziness. After evaluating the patient, physician confirms that patient is experiencing acute diastolic heart failure. This would be coded as I50.31, along with appropriate codes for diabetes and hypertension.
Detailed history and physical examination findings, including symptoms (e.g., shortness of breath, edema, fatigue), relevant past medical history (e.g., hypertension, diabetes), and current medications.Results of diagnostic tests such as echocardiogram (showing impaired diastolic function), electrocardiogram (ECG), and laboratory tests (e.g., blood electrolytes, creatinine).Documentation of treatment provided and response to treatment.
** This code is specific to acute diastolic heart failure.It does not include systolic heart failure or combined systolic and diastolic heart failure.Always code to the highest level of specificity possible.
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office