2025 ICD-10-CM code I50.810
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiology - Other forms of heart disease Diseases of the circulatory system Feed
Right heart failure, unspecified;This code is used when right heart failure is present without mention of left heart failure.
Not applicable to ICD-10 codes.
Medical necessity for the diagnosis is established through clinical presentation and objective findings that support the diagnosis of right heart failure.Further investigations may be necessary to determine the underlying cause of the heart failure and guide management.
The clinical responsibility lies with the cardiologist or other physician managing the patient's cardiac condition.This includes diagnosing the right heart failure, determining the cause and severity, and developing a treatment plan.
In simple words: This code means the right side of the heart isn't pumping blood properly.It doesn't say if the left side of the heart is also affected.
I50.810, Right heart failure, unspecified, is an ICD-10-CM code used to classify instances of right heart failure where the presence of left heart failure is not specified in the medical documentation.This diagnosis indicates dysfunction of the right ventricle, leading to impaired blood flow from the body to the lungs. The lack of specification regarding left heart failure implies that either there is no involvement of the left ventricle, or that the status of the left ventricle is unknown or not documented.The code excludes cardiac arrest, neonatal cardiac failure, and heart failure due to specific underlying conditions such as hypertension or rheumatic heart disease. These conditions would be coded separately.
Example 1: A 70-year-old patient presents with symptoms of right heart failure, including peripheral edema and shortness of breath on exertion.Echocardiography reveals right ventricular dilation and reduced ejection fraction.There is no evidence of left ventricular dysfunction, so I50.810 is the appropriate code. , A patient with a history of pulmonary hypertension develops progressive right heart failure.While left heart involvement is possible, it is not documented, thus I50.810 is used until confirmed., A patient post-cardiac surgery develops signs of right heart failure.The documentation does not specify involvement of the left ventricle; therefore, I50.810 is appropriate.
The medical record should contain a detailed history and physical examination documenting the symptoms, signs, and findings suggestive of right heart failure.Supporting evidence could include echocardiographic findings, chest x-rays, laboratory results (e.g., BNP, NT-proBNP levels), and other relevant investigations. The absence or presence of left heart failure should be clearly documented.
** Accurate coding requires careful review of the medical record to determine whether the right heart failure is isolated or secondary to another condition.If an underlying cause is identified, it should be coded separately.
- Revenue Code: To be determined based on the specific service provided and the payer's revenue code system.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services rendered, which are coded using CPT or HCPCS codes, and then factored through relative value units and other payment methodologies.
- 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
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office