AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Acute Congestive Heart Failure with Diastolic or Systolic Dysfunction
How should acutely decompensated congestive heart failure with diastolic or systolic dysfunction be coded in ICD-10-CM? There is no longer an index entry for diastolic/systolic dysfunction. For example, a patient is admitted for treatment of acute congestive heart failure. The provider documents, “Acutely decompensated congestive heart failure with diastolic dysfunction.” Can this be coded as acute diastolic congestive heart failure? ...
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Article Overview
This premium article focuses on ICD-10-CM coding guidance for acute congestive heart failure in the context of diastolic or systolic dysfunction. It is intended for coders and revenue cycle staff who review physician documentation and need to understand the general documentation and classification issues involved. The article addresses how provider language, heart failure terminology, and principal diagnosis selection are discussed in this scenario.
Why This Topic Matters
Accurate interpretation of documentation is essential for correct ICD-10-CM assignment and consistent abstraction of heart failure cases. Readers will want this article when they need a focused discussion of how acute heart failure terminology is handled in conjunction with diastolic or systolic dysfunction.
What You Will Learn
- The ICD-10-CM coding topic addressed in acute congestive heart failure cases
- How provider documentation language affects classification discussions
- The general documentation concerns involved when diastolic or systolic dysfunction is mentioned alongside heart failure
- The type of ICD-10-CM guidance offered for acute decompensated heart failure scenarios
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity professionals
- Revenue cycle staff
- Healthcare billers
Codes Discussed
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