ICD-10-CM Code I50.1

Left ventricular failure, unspecified

Version 2020 Billable Code Cardiology

Valid for Submission

I50.1 is a billable code used to specify a medical diagnosis of left ventricular failure, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I50.1 might also be used to specify conditions or terms like acute congestive heart failure, acute left ventricular failure, acute left-sided congestive heart failure, acute left-sided heart failure, cardiac asthma, chronic congestive heart failure, etc

The code is commonly used in cardiology medical specialties to specify clinical concepts such as heart failure.

ICD-10:I50.1
Short Description:Left ventricular failure, unspecified
Long Description:Left ventricular failure, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I50.1:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Cardiac asthma
  • Edema of lung with heart disease NOS
  • Edema of lung with heart failure
  • Left heart failure
  • Pulmonary edema with heart disease NOS
  • Pulmonary edema with heart failure

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • edema of lung without heart disease or heart failure J81
  • pulmonary edema without heart disease or failure J81

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I50.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute congestive heart failure
  • Acute left ventricular failure
  • Acute left-sided congestive heart failure
  • Acute left-sided heart failure
  • Cardiac asthma
  • Chronic congestive heart failure
  • Chronic left-sided congestive heart failure
  • Chronic left-sided heart failure
  • Congestive heart failure due to left ventricular systolic dysfunction
  • Congestive rheumatic heart failure
  • Ischemic contracture of left ventricle syndrome
  • Left heart failure
  • Left heart failure
  • Left ventricular cardiac dysfunction
  • Postcapillary pulmonary hypertension
  • Pulmonary hypertension due to left heart disease
  • Pulmonary hypertension due to systolic systemic ventricular dysfunction
  • Rheumatic left ventricular failure
  • Sepsis-associated left ventricular failure
  • Sepsis-associated myocardial dysfunction

Diagnostic Related Groups

The ICD-10 code I50.1 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MCC
  • 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MCC

Convert I50.1 to ICD-9

  • 428.1 - Left heart failure

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Other forms of heart disease (I30-I52)
      • Heart failure (I50)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - Code Updated, effective from 10/1/2017 through 9/30/2018
    • New Description: Left ventricular failure, unspecified
    • Previous Description: Left ventricular failure
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Heart Failure

Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped or is about to stop working. It means that your heart is not able to pump blood the way it should. It can affect one or both sides of the heart.

The weakening of the heart's pumping ability causes

  • Blood and fluid to back up into the lungs
  • The buildup of fluid in the feet, ankles and legs - called edema
  • Tiredness and shortness of breath

Common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is more common in people who are 65 years old or older, African Americans, people who are overweight, and people who have had a heart attack. Men have a higher rate of heart failure than women.

Your doctor will diagnose heart failure by doing a physical exam and heart tests. Treatment includes treating the underlying cause of your heart failure, medicines, and heart transplantation if other treatments fail.

NIH: National Heart, Lung, and Blood Institute


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