This is the American ICD-10-CM version of P29. Arrhythmogenic deterioration of cardiac function may be an acute event or the consequence of end-stage heart failure. The infarct size following AMI is the most important predictor of LV dysfunction and remodeling after AMI [11, 12]. Cardiomyopathy (I42) Other restrictive cardiomyopathy (I42. PH-LHD is defined by post-capillary hemodynamics at right heart catheterization (RHC); that is a. 7mm) in group 2 and 44(30. 001) when compared with grades 1 and 2. 5% of those with mPAP≤20mmHg. 15th ed. When compared with the LV, it has a more complex three-dimensional geometry, appearing triangular when viewed from the front and it wraps around the LV []. Paul Friedman, a Mayo Clinic cardiologist, explains what the condition is and how it can be diagnosed and treated. Ischemic stroke is a major cause of morbidity and mortality in the United States with an annual incidence of 700 000 strokes per year. Common prescriptions for left ventricular dysfunction are: Diuretics or water. Multiple imaging modalities are used in the screening, risk stratification, and monitoring of HF patients, although echocardiography remains the mainstay of imaging in these settings. 02 [convert to ICD-9-CM] Immune effector cell-associated neurotoxicity syndrome, grade 2. 3 may differ. Left ventricular hypertrophy ( LVH) is thickening of the heart muscle of the left ventricle of the heart, that is, left-sided ventricular hypertrophy and resulting increased left ventricular. Consider a loop diuretic as symptom management. ICD-10-CM Diagnosis Code I50. 0 (95% CI 1. Cardiac dilatation. 21, I50. Recently,. 89 became effective on October 1, 2023. Systolic dysfunction. 0. the type of left ventricular failure, if known (I50. These obstructions to forward flow may present alone or in. Nausea and loss of appetite. 2 Systolic (congestive) heart failure end stage heart failure, if applicable (I50. I50. ICD-10-CM Diagnosis Code C82. The 2024 edition of ICD-10-CM I34. Left ventricular hypertrophy, or LVH, is a term for a heart’s left pumping chamber that has thickened and may not be pumping efficiently. Acute left sided congestive heart failure (chf); Acute left-sided congestive heart failure; Chronic left sided congestive heart failure (chf); Chronic left-sided congestive heart failure; Congestive heart. 5 cm 2; and peak aortic jet velocity >2 and <4 m/s, at rest or after dobutamine stress echocardiography) and HFrEF (LVEF <50%). 0): 291 Heart failure and shock with mcc. 33: Acute chronic congestive (systolic) heart failure. Right ventricular dysfunction may develop in association with left ventricular dysfunction via multiple mechanisms: (1). However, patients with isolated apical LVNC had lower LV end‐systolic diameter (39 versus 43 mm,. LVOT ACC (m/s 2) = Vmax (m/s)/ACT (s). Functional TR is the most common subtype, accounting for up to 85% of all TR cases ( 28 ), and is. Chronic systolic (congestive) heart failure. and diastolic (congestive) hrt fail; end stage heart failure, if applicable (I50. Coronary artery disease (CAD) is the most common cause of left ventricular dysfunction and heart failure (ischemic cardiomyopathy [ICM]). Heart failure (I50) Left ventricular failure, unspecified (I50. The prevalence of preexisting ICD implant was higher in those with moderate-severe RVD (8. Left labyrinthine dysfunction. Leg swelling. ICD-10-CM I50. addressing the aforementioned clinical questions on LV thrombus, including heart failure, coronary artery disease, preventive cardiology, stroke, anticoagulation, pharmaco-. Get With The Guidelines-HF is for patients in ICD-10 codes HF: I11. 84); combined systolic (congestive) and diastolic (congestive) heart failure (I50. “The heart becomes less efficient at relaxing as we get older. Participants will be randomized to receive either a primary prevention ICD or an implantable loop recorder (ILR). Reduction of left ventricular wall motion (LVWM) and/or ejection fraction (LVEF) usually indicates myocardial ischemia unless proven otherwise []. Goyder C, Roalfe A, Jones N, Taylor K, Plumptre C, James O, Fanshawe T, Hobbs F and Taylor C (2023) Diagnostic accuracy of natriuretic peptide screening for left ventricular systolic dysfunction in the community: systematic review and meta‐analysis, ESC Heart Failure, 10. 2010; 3:347–353. The increasing sophistication of coronary artery bypass grafting (CABG) and percutaneous intervention (PCI) raises important questions about the appropriate role of revascularization, CABG, or PCI in treating patients with ICM. The increasing sophistication of coronary artery bypass grafting (CABG) and percutaneous intervention (PCI) raises important questions about the appropriate role of revascularization, CABG,. 1 – 6 However, little is known about the natural. Other forms of heart disease. 791 Prematurity with major problems. Short description: Chronic venous hypertension w inflammation of l low extrem The 2024 edition of ICD-10-CM I87. FRACTIONAL SHORTENING. ICD-10-CM I50. The 2024 edition of ICD-10-CM I51. 3–5 Indeed, numerous foundational studies have established that consideration of LV ejection. 2 – 7 In HFrEF, ischemic or myopathic processes may directly involve the RV and lead to RVD. Alternative RV pacing sites have been. 1 may differ. This is the American ICD-10-CM version of I35. 1 Introduction. 109. Although the LV end-diastolic pressure-volume relation describes the passive properties of the LV, LV filling is not a passive or slow process. 0) using ICD-10, you are required to also code the type of heart failure from the I50 series: • I50. Diagnosis is clinical and by elevated natriuretic peptides, chest x-ray, echocardiography, and MRI. 1 is a billable diagnosis code used to specify a medical diagnosis of left ventricular failure, unspecified. 8k views Answered >2 years ago. The incidence of heart failure in the UK is 140 per 100,000 men and 120 per 100,000 women. The objective of this study was to investigate the prognostic importance of right ventricular dysfunction (RVD) and tricuspid regurgitation (TR) in patients with moderate–severe functional mitral regurgitation (FMR) receiving MitraClip procedure. Titrate dose to control symptoms. The definition of this intermediate stage of disease progression is based on a combination of several structural and functional features including an LVEF in the low-normal range, 23 moderate to severe diastolic function, 24-25 marked atrial dilatation, 39 moderate areas of LGE, 7,16,23,40 severe microvascular dysfunction, 9 thinning of the LV. Bouts of chest pain. Failure of dental implant due to poor oral hygiene. The 2020 American Heart Association / American College of Cardiology Guideline for the Diagnosis and Treatment of Patients with HCM provides important evidence and consensus-based guidelines to inform best clinical. 9%: Correa de Sa et al. At first, diastolic dysfunction may not cause symptoms. In separate multivariate models adjusted for age and black race, the OR for severe LV dysfunction alone was 1. 3% of those with mean PAP (mPAP) >20mmHg died or were transplanted urgently compared to 13. , lymphoma ABVD/R-CHOP = 300 mg/m 2. The 2024 edition of ICD-10-CM I11. Results. 9 [convert to ICD-9-CM] Polyglandular dysfunction, unspecified. The majority of sudden cardiac death (SCD) in patients with heart failure occurs in those with mild‐moderate left ventricular (LV) systolic dysfunction (LVEF 36–50%) who under current guidelines are ineligible for primary prevention implantable cardiac defibrillator (ICD) therapy. 2 to 2. This functional or secondary regurgitation results from a dysbalance between closing and opening. 1–7 Furthermore, it has been suggested that abnormalities of LV systolic properties constitute an important pathophysiological mechanism for the occurrence of. Autosomal recessive Friedreich ataxia. 0 and <1. ) Issues related to the management of patients with HF symptoms (ie,. The 2024 edition of ICD-10-CM I42. 28–2. 2021 - New Code 2022 2023 2024 Billable/Specific Code. The physician. 3, 4, 5 However, using the single measure of LVEF ignores other variables. 1 The survival rate of LVSD from the time of diagnosis is 67% at 1 year and 24% at 3 years. heart failure patients with left ventricular ejection fraction less than or equal to 35% withOther cardiomyopathies. 9 - other international versions of ICD-10 I50. 906909 Link Google. For patients with severe LV dysfunction, ie, with an ejection fraction (EF) of 35% or less, observational studies have indicated better survival with CABG than PCI, 11–13 or comparable survival with CABG. g. However,. Left ventricular ejection fraction (LVEF) is the central measure of left ventricular systolic function. 3 years of follow-up was associated. Left ventricular outflow tract obstructions (LVOTOs) encompass a series of stenotic lesions starting in the anatomic left ventricular outflow tract (LVOT) and stretching to the descending portion of the aortic arch ( Figure 1 ). Background. com and on I51. 22,. An echocardiogram revealed moderate-to-severe global hypokinesis of the LV, ejection fraction (EF) estimated at 30%, a 19×7 mm thrombus in the LV apex and a mildly dilated left atrium with tissue Doppler features of diastolic dysfunction (figures 1 and 2, video 1). 9 Acute ischemic heart disease, unspecified . I34. The level of obstruction can be valvular, sub-valvular, or supravalvular. The risk of AF increases 4. Petrie MC, Jhund PS, She L, et al. 20, I50. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. qualitative assessment of moderate/severe dysfunction with no contraindications or. Left ventricular hypertrophy (LVH) is one of the most common abnormalities that induce LVDD. It may either be asymptomatic or also have symptoms of heart failure. • ICD placed or prescribed at discharge: Percent of heart failure patients with left ventricular ejection fraction less than or equal to 35% with no contraindications, documented intolerance, Moderate LV systolic dysfunction, RV systolic function NR, MR NR, PH NR Lamin A/C BB and ACEI. 810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Aortic valve replacement (AVR) for severe aortic stenosis (AS) is recommended in symptomatic patients or in those with a left ventricular (LV) ejection fraction (LVEF) <50%. Myocardial ischemia is known to depress cardiac contractility []. 22 for Pulmonary hypertension due to left heart disease is a medical classification as listed by WHO under the range -Pulmonary heart . 2% Moderate-to-severe LV diastolic dysfunction 1. Mitral valve insufficiency or mitral regurgitation (MR) is characterized by the reversal of blood flow from the left ventricle (LV) to the left atrium (LA), typically in the systolic phase of the cardiac cycle. When the condition is severe enough to cause congestion in the lungs or swelling in the legs, a. 1161/CIRCHEARTFAILURE. Showing 1-25: ICD-10-CM Diagnosis Code H83. Invasive Studies. Shortness of breath during mild activity. 9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 429. 6; P<0. Predicting Persistent Left Ventricular Dysfunction Following Myocardial Infarction: PREDiction of ICd Treatment Study (PREDICTS). Through it there is a pathological shunting of blood. In this post hoc analysis of patients with nonischemic LV systolic heart failure randomized to ICD implantation or control in the DANISH trial, RV function measured on CMR was. Valvular disease. Short description: Heart disease NOS. Goyder C, Roalfe A, Jones N, Taylor K, Plumptre C, James O, Fanshawe T, Hobbs F and Taylor C (2023) Diagnostic accuracy of natriuretic peptide screening for left ventricular systolic dysfunction in the community: systematic review and meta‐analysis, ESC Heart Failure, 10. -) A condition associated with ventricular septal defect and other congenital heart defects that. The symptoms come from an inadequate cardiac output, failing to keep up with the metabolic demands of the body. 8 (95% CI 1. I51. Primary prevention ICD implantation for NICM (with New York Heart Association Class II-III or Class IV with CRT, and LVEF ˂ 35%) is a class Ia recommendation in the American Heart Association/American College of Cardiology guidelines, whereas it is a class Ib recommendation in the recent European guidelines. 810 is grouped within Diagnostic Related Group (s) (MS-DRG v41. I50. It can include anatomic. Group 3: Pulmonary hypertension because of lung diseases and hypoxia. 814 became effective on October 1, 2023. The early initiation of therapies in patients with presumed ALVSD has been shown to lead to better outcomes. Follicular lymphoma grade 2, multiple ln sites; Follicular non-hodgkin's lymphoma grade 2 of lymph nodes of multiple sites; Follicular non-hodgkin's mixed small cleaved and large cell lymphoma of lymph nodes of multiple sites. In ischaemic cardiomyopathy, ventricular. Asymptomatic LV systolic dysfunction (ALVSD), classified as stage B HF, is defined as depressed LV systolic function in the absence of clinical HF (Figure 1). Lack of contractile reserve measured by exercise EF, LV. 10 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Subjects with TAPSE less than 15mm had worse prognosis compared to those with TAPSE ≥15mm. 18 [convert to ICD-9-CM] Follicular lymphoma grade II, lymph nodes of multiple sites. Acute decompensated heart failure shows the same signs or symptoms as heart failure and occurs in patients with heart. Or, you may have symptoms with physical activity but not at rest. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology,. Other restrictive cardiomyopathy. Although the LV end-diastolic pressure-volume relation describes the passive properties of the LV, LV filling is not a passive or slow process. Our coder insists that we are undercoding if we don't put I51. CDI Pocket Guide. 9 became effective on October 1, 2023. This is the American ICD-10-CM version of I75. The 2024 edition of ICD-10-CM G93. This is the American ICD-10-CM version of I51. This is the American ICD-10-CM version of I42. In a person with systolic heart failure, the heart is weak, and. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Acute systolic (congestive) heart failure. I50. ”. This study is powered to detect a 28% reduction in mortality by ICD therapy. The 2024 edition of ICD-10-CM I27. 322 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1161/CIR. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The LV-EF cut-off of 30% is accepted as a reference value used to differentiate patients with severe and mild/moderate LV dysfunction [2]. 71; 95% confidence interval, 1. It can include anatomic. 25 per 10% lower RVEF; P = . An 8% ICD implantation rate for primary sudden cardiac death prevention, as was seen in the. Polyglandular dysfunction. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 84); combined systolic (congestive) and diastolic (congestive) heart failure (I50. Of the 411 patients included, 100 patients (24%) had LV dysfunction and in 52 (13%) of these patients, LV dysfunction was not attributed to a cardiac disease. Conclusion: The DETERMINE trial will assess the efficacy of ICD therapy to improve survival among patients with CAD, mild-to-moderate LV dysfunction, and infarct size > or = 10% of LV mass as measured by CMR. Heart failure can be. ICD-10-CM Diagnosis Code H02. This was the first year ICD-10-CM was implemented into the HIPAA code set. 6; P<0. Dizziness or lightheadedness. 9 may differ. 29, 30, 31 For patients with stable CAD, the ESC and AHA/ACC/HRS guidelines agree on a Class I. This topic discusses identification, prognosis, and management of. 500 results found. 01) and all-cause mortality alone (HR, 1. Women with HFpEF have more LV diastolic dysfunction. 01), whereas for subjects with both severe LV dysfunction and severe LV dilatation, the OR was 4. 1996; 27:1192–1197. Symptomatic HF (stage C and stage D) is commonly preceded by a stage in which cardiac dysfunction is present, but symptoms are absent (stage B) [ 2,3 ]. ICD-10-CM Diagnosis Code J45. Search Results. 70, Fluid over, unspecified. By extension, diastolic dysfunction occurs when these processes are prolonged, slowed, or incomplete. The Heart Failure Society of America 2018 guidelines recommended obtaining a family history up to three generations and screening first-degree relatives of diagnosed LVNC patients. 901. ICD implantation 05 y Symptoms improvement with mild-moderate LV systolic dysfunction. Convert I50. 89 may differ. Labyrinthine dysfunction. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM I27. 1056. ting of only mild to moderate LV systolic dysfunction. 2 to 2. 9 became effective on October 1, 2023. Pulmonary hypertension due to left heart disease (PH-LHD) is the most common type of pulmonary hypertension (PH). This is the American ICD-10-CM version of I25. Unexplained syncope, non-sustained VT, and moderate-to-severe dilation/dysfunction of RV, LV, or both have been reported as major predictors of malignant arrhythmic events. This is the American ICD-10-CM version of I50. Subjects with TAPSE less than 15mm had worse prognosis compared to those with TAPSE ≥15mm. 24,25 In the acute MI setting, the severity and extent of car-diac injury increase the risk of developing an LV throm-echocardiography, e. An LV end-systolic diameter of more than 50 mm is associated with development of symptomatic heart failure at a rate of 19% per year, whereas a diameter of less than 40 mm is associated with low. Heart failure involving the left ventricle. This is the American ICD-10-CM version of Q21. Introduction. 293 Heart failure and shock without cc/mcc. Iatrogenic post-osseointegration failure of dental implant. 9%: Correa de Sa et al. 3%) with mild-moderately enlarged LV (61. 9 in. 3 should only use this category for a further selection of codes whenever a condition is mentioned as Diastolic. 9 (unspecified heart disease), not code I51. 89 Other forms of acute ischemic heart disease . 1 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Pinson R, Tang C. Crossref Medline Google Scholar; 48 Yu HC, Sanderson JE. 2 - other international versions of ICD-10 I50. 9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 429. LV: Left ventricle. The 2024 edition of ICD-10-CM I51. 500 results found. Fainting. ICD-10-CM Diagnosis Code E31. Left ventricular ejection fraction (LVEF) is the central measure of left ventricular systolic function. 0 may differ. g. Per ICD-10 official guidelines for reporting and coding, “The importance of consistent, complete documentation in the medical record cannot be overemphasized. Firstly, to recognize severe RVD is important because it will have direct impact on the heart failure treatment strategy and in patients considered candidates for LV assist, it increases the risk of RV failure following implantation. Anthracycline chemotherapy. The authors reported that the mode of death was similar among the HF subtypes. P29. With regards to morbidity and mortality benefits, ARBs appear to be a reasonable substitute for ACE inhibitors for the treatment of LV systolic dysfunction in patients intolerant of ACE inhibitors. 2 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. The 2024 edition of ICD-10-CM I50. Diastolic dysfunction is linked to excessive weight, diabetes, age and limited physical activity or a sedentary lifestyle. Group 2: Pulmonary hypertension due to left heart disease. 0 (95% CI 1. These codes also include combined systolic and diastolic left ventricular heart failure and heart failure with reduced ejection fraction and diastolic dysfunction. Nevertheless, RV EF (not shown in Figure 2) also decreased between normal through mild to moderate LV dysfunction (P=0. 21, I50. Lower dose, e. Left labyrinthine dysfunction. doi: 10. 7%), and mild RVD (4. 9 - other international versions of ICD-10 I50. the type of left ventricular failure as systolic, diastolic, or combined, if known (I50. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. CANCER TREATMENT. Monitor urea and electrolytes at baseline and 1-2 weeks after medication initiation (or dose increase) Beta blockers should only be considered when the patient is stable. Typical conclusions for echo include: mild aortic regurgitation, mild to moderate mitral regurgitation, left atrial enlargement, diastolic dysfunction. ICD-10-CM Diagnosis Code I50. 292 Heart failure and shock with cc. Diastolic Dysfunction, a heart condition related to how your heart fills with blood, has specific ICD-10 codes. What is diastolic heart failure? Diastolic heart failure, also known as heart failure with preserved ejection fraction (HFpEF), is a condition in which your heart’s main pumping chamber (left ventricle) becomes stiff and unable to fill properly. 0, I13. Heart Failure. 3 All. I42. 5. 4%: From et al. 9 became effective on October 1, 2023. I50. The 2024 edition of ICD-10-CM I35. com and on I51. 21, I50. The 2024 edition of ICD-10-CM G31. Of these, 297 (10. If >50% of these criteria were positive then diastolic dysfunction is evident 1. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. 1: Left ventricular failure, unspecified: 9: I50. The ‘three categories’ arrhythmic risk stratification of S/ACM is summarized in. This is the American ICD-10-CM version of I50. 8 (95% CI 1. 811 became effective on October 1, 2023. Background: Recent data demonstrate promising effects on left ventricular dysfunction and left ventricular ejection fraction (LVEF) improvement following ablation for atrial fibrillation (AF) in patients with heart failure. 0 may differ. 89 - other international versions of ICD-10 I51. 9 became effective on October 1, 2023. Heart failure involving the left ventricle. It is unknown whether RVDDF exists as a distinct clinical entity; however, its presence and degree have been shown to be a sensitive. 292 Heart failure and shock with cc. 0 - other international versions of ICD-10 I42. 8) 60 (12. Applicable To. Monitor urea and electrolytes at baseline and 1-2 weeks after medication initiation (or dose increase) Beta blockers should only be considered when the patient is stable. Methods and Results. Obstruction may be subvalvar, valvar, or supravalvar. 1056. 22 - other international versions of ICD-10 I50. Learn how we can help. Patients with mild LV dysfunction can keep heart failure at bay with proper medications. 82 may differ. With respect to the grading of LV diastolic dysfunction, it is the recommendation of the writing group to determine the. 2. 14 , 15 Secondly, in patients with LV disease, occurrence of mild or moderate RVD often indicates LV. Search Results. Anthracycline chemotherapy. By extension, diastolic dysfunction occurs when these processes are prolonged, slowed, or incomplete. Mild-Moderate: 25 (10. Anatomy and Physiology of the Normal Right Ventricle. 3%) with normal LV diastolic diameter (51. 262 may differ. Circulation. 0 - other international versions of ICD-10 I35. Sudden death and ventricular arrhythmias are common in heart failure patients, and implantable cardioverter‐defibrillators (ICDs) have been shown to decrease mortality related to sudden death. 022 became effective on October 1, 2023. The question in this Coding Clinic asks how decompensated CHF with diastolic or systolic dysfunction would be coded in ICD-10-CM. Mild LV diastolic dysfunction 1. Larger infarct size due to late presentation or late reperfusion, no or minimal collateral flow, or anterior location is associated with greater LV dysfunction, adverse cardiac remodeling, and HF over time. The most common causes of graft dysfunction after. the type of left ventricular failure, if known (I50. Right ventricular failure secondary to left. monogram textured dots tie; my first h bag;the correct conclusions about LV diastolic function. In separate multivariate models adjusted for age and black race, the OR for severe LV dysfunction alone was 1. Polyglandular dysfunction. Some people may not have symptoms of ischemic cardiomyopathy. 022 - other international versions of ICD-10 I75. 21, I50. With the widespread utilization of echocardiography, asymptomatic cardiac dysfunction is commonly identified. 30 to ICD-9-CM. 2 became effective on October 1, 2023. 1998; 32: 948–954. Patients with diastolic heart failure (DHF) are said to have detectable abnormalities in left ventricular (LV) systolic function despite the presence of a normal ejection fraction. Right ventricular ejection fraction is an independent predictor of survival in patients with moderate heart failure. 2X9 [convert to ICD-9-CM] Labyrinthine dysfunction, unspecified ear. 2X2 [convert to ICD-9-CM] Labyrinthine dysfunction, left ear. The 2024 edition of ICD-10-CM I51. 7 However, normal chest radiography was less helpful for excluding. No ICD interventions. 14314, 10:3, (1643-1655), Online publication date: 1-Jun-2023. In patients with severe secondary MR with LVEF 20-50%, LV end-systolic diameter ≤70 mm, and pulmonary artery systolic pressure ; 70 mm Hg who remain symptomatic after medical optimization for heart. The 2024 edition of ICD-10-CM I45. Reversible left ventricular dysfunction following sudden emotional stress; Stress induced cardiomyopathy; Takotsubo cardiomyopathy; Transient left ventricular apical ballooning syndrome;. Search Results. (One site I found on this condition. Cardiac catheterization was requested to solidify an etiology of ischemic cardiomyopathy, and the patient underwent diagnostic coronary angiography (Figure 2 and Video 1). 20 is a billable diagnosis code used to specify a medical diagnosis of unspecified systolic (congestive) heart failure. The following code(s) above M67. The heart is comprised of the pericardium, myocardium, and endocardium. I51. 793 Full term neonate with major problems. 11. Applicable To. 2-I50. Diastolic heart failure, also known as heart failure with preserved ejection fraction (HFpEF), is a condition in which your heart’s main pumping chamber (left ventricle) becomes stiff and unable to fill properly. The left ventricular systolic dysfunction may be determined by quantitative or qualitative. LV diastolic dysfunction is a cardinal feature of HFpEF and causes elevation of LV filling pressure and left atrial hypertension. 5% Framingham criteria 1%. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. INTRODUCTION.