2023 ICD-10-CM Diagnosis Code I50.20

Unspecified systolic (congestive) heart failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • I50.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM I50.20 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of I50.20 - other international versions of ICD-10 I50.20 may differ.
The following code(s) above I50.20 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I50.20:
  • I00-I99
    2023 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
  • I50
    ICD-10-CM Diagnosis Code I50

    Heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
    • heart failure due to hypertension (I11.0)
    • heart failure due to hypertension with chronic kidney disease (I13.-)
    • heart failure following surgery (I97.13-)
    • obstetric surgery and procedures (O75.4)
    • rheumatic heart failure (I09.81)
    Type 2 Excludes
    • cardiac arrest (I46.-)
    • neonatal cardiac failure (P29.0)
    Heart failure
  • I50.2
    ICD-10-CM Diagnosis Code I50.2

    Systolic (congestive) heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Heart failure with reduced ejection fraction [HFrEF]
    • Systolic left ventricular heart failure
    Code Also
    • end stage heart failure, if applicable (I50.84)
    Type 1 Excludes
    • combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)
    Systolic (congestive) heart failure
Approximate Synonyms
  • Ischemic cardiomyopathy with systolic heart failure stage b
  • Ischemic cardiomyopathy with systolic heart failure stage c
  • Ischemic cardiomyopathy with systolic heart failure stage d
  • Systolic heart failure
  • Systolic heart failure stage b
  • Systolic heart failure stage b due to ischemic cardiomyopathy
  • Systolic heart failure stage c
  • Systolic heart failure stage c due to ischemic cardiomyopathy
  • Systolic heart failure stage d
  • Systolic heart failure stage d due to ischemic cardiomyopathy
Clinical Information
  • Heart failure caused by abnormal myocardial contraction during systole leading to defective cardiac emptying.
ICD-10-CM I50.20 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 222 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock with mcc
  • 223 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock without mcc
  • 291 Heart failure and shock with mcc
  • 292 Heart failure and shock with cc
  • 293 Heart failure and shock without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert I50.20 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to I50.20:

ICD-10-CM Codes Adjacent To I50.20
I49.3 Ventricular premature depolarization
I49.4 Other and unspecified premature depolarization
I49.40 Unspecified premature depolarization
I49.49 Other premature depolarization
I49.5 Sick sinus syndrome
I49.8 Other specified cardiac arrhythmias
I49.9 Cardiac arrhythmia, unspecified
I50 Heart failure
I50.1 Left ventricular failure, unspecified
I50.2 Systolic (congestive) heart failure
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
I50.3 Diastolic (congestive) heart failure
I50.30 Unspecified diastolic (congestive) heart failure
I50.31 Acute diastolic (congestive) heart failure
I50.32 Chronic diastolic (congestive) heart failure
I50.33 Acute on chronic diastolic (congestive) heart failure
I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure
I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.