DRG 291

Heart failure and shock with mcc

  • I09.81
    Rheumatic heart failure
  • I11.0
    Hypertensive heart disease with heart failure
  • I13.0
    Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
  • I13.2
    Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
  • I50.1
    Left ventricular failure, unspecified
  • 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
  • I50.30
    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
  • I50.40
    Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.41
    Acute combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.42
    Chronic combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.43
    Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
  • 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
  • I50.9
    Heart failure, unspecified
  • R57.0
    Cardiogenic shock
  • R57.9
    Shock, unspecified
ICD-10-CM I09.81

Rheumatic heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I11.0

Hypertensive heart disease with heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Hypertensive heart failure
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I13.0

Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

    2016 2017 2018 2019 2020 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I13.2

Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

    2016 2017 2018 2019 2020 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I50.1

Left ventricular failure, unspecified

    2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code
Applicable To
  • 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
  • edema of lung without heart disease or heart failure (J81.-)
  • pulmonary edema without heart disease or failure (J81.-)
ICD-10-CM I50.20

Unspecified systolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.21

Acute systolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.22

Chronic systolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.23

Acute on chronic systolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.30

Unspecified diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.31

Acute diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.32

Chronic diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.33

Acute on chronic diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.40

Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.41

Acute combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.42

Chronic combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.43

Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM I50.810

Right heart failure, unspecified

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Right heart failure without mention of left heart failure
  • Right ventricular failure NOS
ICD-10-CM I50.811

Acute right heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Acute isolated right heart failure
  • Acute (isolated) right ventricular failure
ICD-10-CM I50.812

Chronic right heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Chronic isolated right heart failure
  • Chronic (isolated) right ventricular failure
ICD-10-CM I50.813

Acute on chronic right heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Acute on chronic isolated right heart failure
  • Acute on chronic (isolated) right ventricular failure
  • Acute decompensation of chronic (isolated) right ventricular failure
  • Acute exacerbation of chronic (isolated) right ventricular failure
ICD-10-CM I50.814

Right heart failure due to left heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Right ventricular failure secondary to left ventricular failure
Code Also
  • the type of left ventricular failure, if known (I50.2-I50.43)
Type 1 Excludes
  • Right heart failure with but not due to left heart failure (I50.82)
ICD-10-CM I50.82

Biventricular heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Code Also
  • the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
ICD-10-CM I50.83

High output heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
ICD-10-CM I50.84

End stage heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
Applicable To
  • Stage D heart failure
Code Also
  • the type of heart failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
ICD-10-CM I50.89

Other heart failure

    2018 - New Code 2019 2020 Billable/Specific Code
ICD-10-CM I50.9

Heart failure, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Cardiac, heart or myocardial failure NOS
  • Congestive heart disease
  • Congestive heart failure NOS
Type 2 Excludes
  • fluid overload unrelated to congestive heart failure (E87.70)
ICD-10-CM R57.0

Cardiogenic shock

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes
ICD-10-CM R57.9

Shock, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Failure of peripheral circulation NOS