AHA Coding Clinic® for ICD-9 - 2014 Issue 1; Ask the Editor

Heart Failure and Preserved or Reduced Ejection Fraction (HFpEF/HFrEF)

If a physician documents heart failure with preserved ejection fraction (HFpEF), or heart failure with preserved systolic function, or alternatively heart failure with reduced ejection fraction (HFrEF), heart failure with low ejection fraction, heart failure with reduced systolic function, or other similar terms, can the coder assume the physician means “diastolic heart failure” or “systolic heart failure,” respectively, and apply the proper ICD-9-CM code based on the documented clinical circumstances? ...

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