ICD-10 Code I50.9

Heart failure, unspecified

Version 2019 Replaced Code Billable Code

Valid for Submission

I50.9 is a billable code used to specify a medical diagnosis of heart failure, unspecified. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: I50.9
Short Description:Heart failure, unspecified
Long Description:Heart failure, unspecified

Replaced Code

This code was replaced in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).

  • I50.810 - Right heart failure, unspecified
  • I50.811 - Acute right heart failure
  • I50.812 - Chronic right heart failure
  • I50.813 - Acute on chronic right heart failure
  • I50.814 - Right heart failure due to left heart failure
  • I50.82 - Biventricular heart failure
  • I50.83 - High output heart failure
  • I50.84 - End stage heart failure
  • I50.89 - Other 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 mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

Information for Medical Professionals

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). The diagnosis code I50.9 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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
  • 224 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MCC
  • 225 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITHOUT MCC
  • 226 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 227 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Convert I50.9 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 428.0 - CHF NOS (Approximate Flag)
  • 428.9 - Heart failure NOS (Approximate Flag)

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 exacerbation of chronic congestive heart failure
  • Acute heart failure
  • Acute heart failure co-occurrent with normal ejection fraction
  • Acute on chronic heart failure co-occurrent with normal ejection fraction
  • Benign hypertensive heart disease
  • Benign hypertensive heart disease with congestive cardiac failure
  • Biventricular congestive heart failure
  • Cardiac arrest after obstetrical surgery AND/OR other procedure including delivery
  • Cardiac arrest AND/OR failure following anesthesia AND/OR sedation in labor AND/OR delivery
  • Cardiac edema
  • Cardiac failure after obstetrical surgery AND/OR other procedure including delivery
  • Chronic congestive heart failure
  • Chronic heart failure
  • Chronic heart failure co-occurrent with normal ejection fraction
  • Compensated cardiac failure
  • Complication of obstetrical surgery AND/OR procedure
  • Complication of obstetrical surgery AND/OR procedure
  • Congestive heart failure
  • Congestive heart failure as early postoperative complication
  • Congestive heart failure as post-operative complication of cardiac surgery
  • Congestive heart failure as post-operative complication of non-cardiac surgery
  • Congestive heart failure due to cardiomyopathy
  • Congestive heart failure due to valvular disease
  • Congestive heart failure stage B
  • Congestive heart failure stage B
  • Congestive heart failure stage B due to ischemic cardiomyopathy
  • Congestive heart failure stage C
  • Congestive heart failure stage C
  • Congestive heart failure stage C due to Ischemic cardiomyopathy
  • Congestive heart failure stage D
  • Congestive rheumatic heart failure
  • Decompensated cardiac failure
  • Decompensated chronic heart failure
  • Disorder confirmed
  • Exacerbation of congestive heart failure
  • Heart failure
  • Heart failure as a complication of care
  • Heart failure confirmed
  • Heart failure due to end stage congenital heart disease
  • Heart failure with normal ejection fraction
  • Heart failure with reduced ejection fraction
  • Heart failure with reduced ejection fraction
  • Heart failure with reduced ejection fraction
  • Heart failure with reduced ejection fraction
  • Heart failure with reduced ejection fraction due to cardiomyopathy
  • Heart failure with reduced ejection fraction due to coronary artery disease
  • Heart failure with reduced ejection fraction due to heart valve disease
  • Heart failure with reduced ejection fraction due to myocarditis
  • Hypertensive heart AND chronic kidney disease with congestive heart failure
  • Hypertensive heart and renal disease with heart failure
  • Hypertensive heart and renal disease with heart failure
  • Hypertensive heart and renal disease with both heart failure and renal failure
  • Hypertensive heart disease with congestive heart failure
  • Hypertensive heart failure
  • Left heart failure
  • Low cardiac output syndrome
  • Low output heart failure
  • Malignant hypertensive heart disease
  • Malignant hypertensive heart disease with congestive heart failure
  • Nail changes associated with systemic disease
  • Normal cardiac ejection fraction
  • Obstetrical cardiac complication of anesthesia AND/OR sedation
  • Pleural effusion due to another disorder
  • Pleural effusion due to congestive heart failure
  • Red half-moon nail in congestive heart failure
  • Refractory heart failure
  • Symptomatic congestive heart failure

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 I50.9 are found in the index:


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 for the code I50.9 are found in the tabular index:

  • Inclusion Terms:
    • Cardiac, heart or myocardial failure NOS
    • Congestive heart disease
    • Congestive heart failure NOS
  • Type 2 Excludes Notes:
    • fluid overload (E87.70)

Information for Patients


Heart Failure

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

  • Brain natriutetic peptide test (Medical Encyclopedia)
  • Heart failure - discharge (Medical Encyclopedia)
  • Heart failure - fluids and diuretics (Medical Encyclopedia)
  • Heart failure - home monitoring (Medical Encyclopedia)
  • Heart failure - medicines (Medical Encyclopedia)
  • Heart failure in children - home care (Medical Encyclopedia)
  • Heart failure in children - overview (Medical Encyclopedia)
  • Heart failure overview (Medical Encyclopedia)
  • Pleural effusion (Medical Encyclopedia)
  • Pulmonary edema (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

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.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - 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.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. 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.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.