2025 ICD-10-CM code I50.814
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Other heart failure Diseases of the circulatory system (I00-I99) Feed
Right heart failure secondary to left ventricular failure.This code should be used when right heart failure is directly caused by left ventricular failure.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for coding I50.814 is established through documented symptoms, clinical findings, and imaging evidence confirming the presence of both right and left heart failure with a clear causal link between the two.The documentation must support the severity requiring medical intervention.
The clinical responsibility includes diagnosing the heart failure, determining the cause (left-sided heart failure), and implementing appropriate treatment strategies, such as medication management, lifestyle modifications, and potentially, surgical interventions.
In simple words: This code describes a type of heart failure where the right side of the heart isn't working properly because the left side isn't pumping blood effectively. The right side's weakness is a direct consequence of problems on the left side.
I50.814, Right heart failure due to left heart failure, signifies right ventricular failure resulting from dysfunction of the left ventricle.The code encompasses right ventricular failure secondary to left ventricular failure, and it's crucial to also code the specific type of left ventricular failure if documented (I50.2-I50.43).It excludes right heart failure not caused by left heart failure (I50.82).
Example 1: A patient presents with symptoms of right heart failure (e.g., edema in the lower extremities, distended neck veins).Echocardiography reveals severely impaired left ventricular function, leading to a diagnosis of I50.814.The provider documents left ventricular systolic dysfunction (I50.22) as the underlying cause., A patient with a history of chronic hypertension and previously diagnosed left ventricular diastolic dysfunction (I50.32) experiences progressive worsening of symptoms, including shortness of breath and fatigue.Examination confirms right heart failure, and echocardiography demonstrates elevated right atrial pressure. I50.814 is assigned in conjunction with I50.32., A patient post-myocardial infarction with severe left ventricular dysfunction (I50.23) develops signs of right heart failure. The physician documents the right heart failure as a direct consequence of the left ventricular failure. The I50.814 code is used along with the code for the left ventricular failure.
Detailed history and physical exam findings; echocardiogram results demonstrating impaired left ventricular function and evidence of right heart failure; documentation linking the right heart failure to the left ventricular dysfunction; relevant lab results (e.g., BNP, electrolytes).
** This code is highly specific and requires clear documentation supporting the causal relationship between left and right heart failure.Incomplete documentation may lead to incorrect coding and reimbursement issues.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is determined by other factors, including the procedures performed and the payer's fee schedule.
- 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