Acute on chronic combined systolic and diastolic chf icd 10

Complications & Comorbid Conditions (CC/MCC) Rules for I50.43

When I50.43 is used as a secondary diagnostic code, the patient's visit may be considered to have Complications & Comorbid Conditions (CC) or Major Complications & Comorbid Conditions (MCC).

Exclusions apply. When the primary diagnostic code is is in the exclusion list, the patient visit CC/MCC does not qualify for a CC or MCC.

CC/MCC grouping rules are adjusted each year, so check the rules for the fiscal year of the patient's discharge date.

DRG Mapping Rules for I50.43

Diagnostic codes are the first step in the DRG mapping process.

The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is I50.43, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.

From there, check the subsections of the MDC listed. The patient will be mapped into the first subsection for which the treatment performed on the patient meet the listed requirements of that subsection.

DRG grouping rules are adjusted each year, so make sure to check the rules for the fiscal year of the patient's discharge date.

MDC 05 Diseases & Disorders of the Circulatory System Heart Failure and Shock

I0981 Rheumatic heart failure I110 Hypertensive heart disease with heart failure I130 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I132 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease I501 Left ventricular failure, unspecified I5020 Unspecified systolic (congestive) heart failure I5021 Acute systolic (congestive) heart failure I5022 Chronic systolic (congestive) heart failure I5023 Acute on chronic systolic (congestive) heart failure I5030 Unspecified diastolic (congestive) heart failure I5031 Acute diastolic (congestive) heart failure I5032 Chronic diastolic (congestive) heart failure I5033 Acute on chronic diastolic (congestive) heart failure I5040 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure I5041 Acute combined systolic (congestive) and diastolic (congestive) heart failure I5042 Chronic combined systolic (congestive) and diastolic (congestive) heart failure I5043 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure I50810 Right heart failure, unspecified I50811 Acute right heart failure I50812 Chronic right heart failure I50813 Acute on chronic right heart failure I50814 Right heart failure due to left heart failure I5082 Biventricular heart failure I5083 High output heart failure I5084 End stage heart failure I5089 Other heart failure I509 Heart failure, unspecified R570 Cardiogenic shock R579 Shock, unspecified

categoryCode : I50

diagnosisCode : 43

fullCode : I5043

abbreviatedDescription : Acute on chronic combined systolic and diastolic hrt fail

fullDescription : Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

categoryTitle : Heart failure

billable : billable

FHIR Resource for ICD icd10I5043: Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

{
  "identifier": [
    {
      "system": "http://hl7.org/fhir/sid/icd-10-cm",
      "use": "usual",
      "assigner": {
        "display": "World Health Organization (WHO)"
      },
      "value": "I5043"
    }
  ],
  "extension": [
    {
      "extension": [
        {
          "valueString": "I50",
          "url": "categoryCode"
        },
        {
          "valueString": "43",
          "url": "diagnosisCode"
        },
        {
          "valueString": "I5043",
          "url": "fullCode"
        },
        {
          "valueString": "Acute on chronic combined systolic and diastolic hrt fail",
          "url": "abbreviatedDescription"
        },
        {
          "valueString": "Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure",
          "url": "fullDescription"
        },
        {
          "valueString": "Heart failure",
          "url": "categoryTitle"
        },
        {
          "valueString": "billable",
          "url": "billable"
        }
      ],
      "url": "https://1up.health/dev/fhir/doc/extension/DataTypeCoding/icd"
    }
  ],
  "code": "I5043",
  "system": "http://hl7.org/fhir/sid/icd-10-cm",
  "display": "I5043,Acute on chronic combined systolic and diastolic hrt fail",
  "id": "icd10I5043",
  "version": "2016",
  "resourceType": "DataTypeCoding"
}

I5043: Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure. 1uphealth is the most comprehensive resource to lookup and find ICD codes (international classification of diseases) and data online, from the years 2010-2021. ICD-10 or ICD-10-CM is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical international classification list by the World Health Organization (WHO). Medical search and APIs for ICD10, SNOMED, LOINC, NPIs and much more by 1upHealth.

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