Diagnosis Code I50.20
Short Description: Unspecified systolic (congestive) heart failure
Long Description: Unspecified systolic (congestive) heart failure
Version 2019 of the ICD-10-CM diagnosis code I50.20
Valid for Submission
The code I50.20 is valid for submission for HIPAA-covered transactions.
Information for Medical Professionals
Information for Patients
Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided 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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General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.