ICD Code I50.4
ICD code I50.4 is used to identify cases of combined systolic and diastolic heart failure in medical records and healthcare data systems.
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What is ICD diagnosis code I50.4
ICD code I50.4 is heart failure with preserved ejection fraction, also known as diastolic heart failure.
When to use ICD code I50.4
1. Presence of clinical signs and symptoms of heart failure, such as dyspnea, fatigue, and fluid retention
2. Diagnostic evidence of impaired ventricular filling with preserved ejection fraction (typically ≥50%)
3. Echocardiographic or other imaging confirmation of diastolic dysfunction
4. Absence of significant valvular disease or other primary causes of heart failure
5. Symptoms not explained by other cardiac or pulmonary conditions
6. Elevated natriuretic peptides (BNP or NT-proBNP) supporting the diagnosis
7. Evidence of structural heart disease (e.g., left ventricular hypertrophy, left atrial enlargement)
Billable CPT codes for ICD code I50.4
Relevant CPT codes that may be used to treat ICD code I50.4 include:
- 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report)
- 93306 (Echocardiography, transthoracic, real-time with image documentation, complete, with spectral Doppler and color flow Doppler)
- 99214 (Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity)
- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)
- 36415 (Collection of venous blood by venipuncture)
- 80061 (Lipid panel)
- 80053 (Comprehensive metabolic panel)
- 93010 (Electrocardiogram, interpretation and report only)
- 99223 (Initial hospital care, typically 70 minutes or more)
These CPT codes are commonly associated with the management and treatment of conditions related to ICD code I50.4.
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