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2025 ICD-10-CM code I50.82

Biventricular heart failure. Code also the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43).

When coding biventricular heart failure, it's important to also code any associated conditions, such as hypertension or coronary artery disease.If the type of left ventricular failure is known, it should be coded using the appropriate subcategory (I50.2-I50.43).

Medical necessity for the treatment of biventricular heart failure must be established by documenting the severity of the patient's symptoms and the impact on their functional status.The chosen treatment plan should be justified based on clinical guidelines and the patient's individual needs.

Diagnosing and managing biventricular heart failure falls under the purview of cardiology.This includes assessing the patient's condition, determining the underlying cause, and developing a treatment plan.The plan may involve medications, lifestyle modifications, and in some cases, surgical interventions.Regular monitoring of the patient's condition is essential.

IMPORTANT:If the left ventricular failure is specified as systolic, diastolic, or combined, use codes I50.2-I50.43 in conjunction with I50.82.For right heart failure, use I50.81.

In simple words: Biventricular heart failure means both sides of your heart are not pumping blood well. Your doctor may also describe the specific type of heart failure on the left side of your heart.

Biventricular heart failure is a condition where both the left and right ventricles of the heart are unable to pump blood effectively.It's crucial to also specify the type of left ventricular failure (systolic, diastolic, or combined) using codes I50.2-I50.43 when known.

Example 1: A patient presents with shortness of breath, fatigue, and swelling in the legs and ankles.Echocardiography reveals reduced ejection fraction and impaired diastolic function in the left ventricle, along with signs of right ventricular dysfunction.This scenario supports a diagnosis of biventricular heart failure., A patient with a history of coronary artery disease and hypertension develops worsening shortness of breath and fatigue.Diagnostic tests show that both the left and right ventricles are not pumping efficiently.The physician diagnoses biventricular heart failure., A patient with long-standing dilated cardiomyopathy experiences increasing symptoms of heart failure. Further evaluation reveals both left and right ventricular dysfunction, leading to a diagnosis of biventricular heart failure.

Documentation for I50.82 should clearly state "biventricular heart failure."It's also important to document the type of left ventricular failure (systolic, diastolic, or combined) if known.Supporting documentation should include clinical findings such as shortness of breath, edema, and fatigue, as well as diagnostic test results like echocardiography or cardiac catheterization.Any underlying conditions contributing to the heart failure, such as coronary artery disease or hypertension, should also be documented.

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