2025 ICD-10-CM code I50.32
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Heart Failure - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Chronic diastolic (congestive) heart failure.
Modifiers may be applicable depending on the circumstances of the visit or service. For example, modifier -25 may be used to indicate a significant, separately identifiable evaluation and management service performed on the same day as a procedure.
Medical necessity for the diagnosis of chronic diastolic heart failure (I50.32) is established by the presence of clinical symptoms, diagnostic evidence of diastolic dysfunction, and the need for medical management to alleviate symptoms and improve quality of life. This typically involves medication, lifestyle modifications and possibly device therapy.Documentation supporting medical necessity should detail the patient's clinical presentation, relevant investigations, and the rationale for the chosen treatment strategy.
The clinical responsibility for coding I50.32 falls on the physician or qualified healthcare professional who diagnoses and manages the patient's heart failure.This includes conducting a thorough history, performing a physical examination, ordering and interpreting diagnostic tests (such as echocardiograms and blood tests), and developing a treatment plan.
- Diseases of the circulatory system (I00-I99)
- I50.32 is a sub-code under I50.3 (Diastolic Heart Failure) and falls under the broader category of I50 (Heart Failure).
In simple words: This code describes a long-term heart condition where the heart's ability to relax and fill with blood is weakened. This leads to symptoms such as breathlessness, tiredness, and swelling.
This code signifies chronic diastolic heart failure, a type of heart failure where the heart muscle has difficulty relaxing and filling with blood.It is characterized by impaired diastolic function, leading to reduced filling of the ventricles and decreased cardiac output. This condition is often associated with symptoms like shortness of breath, fatigue, and edema.
Example 1: A 70-year-old female patient presents with persistent shortness of breath on exertion, fatigue, and lower extremity edema.Echocardiography reveals impaired diastolic function with normal ejection fraction.The diagnosis is chronic diastolic heart failure (I50.32)., A 65-year-old male patient with a history of hypertension is admitted to the hospital with worsening dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.He has a history of chronic diastolic heart failure.His condition is deemed an exacerbation of chronic diastolic heart failure requiring hospitalization., A 58-year-old female patient with a long-standing history of hypertension and diabetes presents with fatigue, ankle swelling, and shortness of breath.Cardiac catheterization reveals no significant coronary artery disease.Echocardiography demonstrates diastolic dysfunction with preserved ejection fraction, consistent with chronic diastolic heart failure (I50.32).
Detailed medical history including symptoms (e.g., shortness of breath, fatigue, edema), risk factors (e.g., hypertension, diabetes, obesity), duration of symptoms, and response to treatment.Echocardiogram report demonstrating diastolic dysfunction and preserved ejection fraction.Relevant laboratory test results (e.g., BNP, electrolytes).Physician's assessment and diagnosis.
** Accurate coding of I50.32 requires precise documentation of the clinical findings to support the diagnosis and the chronicity of the condition.The documentation must differentiate this code from other types of heart failure (systolic, combined).
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Cardiology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Skilled Nursing Facility, other relevant settings