ICD Code I50.41

ICD code I50.41 is acute combined systolic (congestive) and diastolic (congestive) heart failure, meaning the patient is experiencing a sudden onset of both types of heart failure, where the heart has trouble both contracting and relaxing, leading to fluid buildup and symptoms of congestion.

1. Sudden onset of symptoms indicative of heart failure

2. Evidence of both systolic dysfunction (reduced ejection fraction or impaired ventricular contraction)

3. Evidence of diastolic dysfunction (impaired ventricular relaxation or filling)

4. Clinical signs of congestion such as pulmonary edema, peripheral edema, or jugular venous distention

5. Symptoms including acute shortness of breath, fatigue, and reduced exercise tolerance

6. Diagnostic imaging or echocardiogram confirming combined systolic and diastolic impairment

7. No evidence of chronic or isolated systolic or diastolic heart failure

Relevant CPT codes that may be used to treat ICD code I50.41 include:

- 99221–99223 (Initial hospital care)

- 99231–99233 (Subsequent hospital care)

- 99291–99292 (Critical care services)

- 93000 (Electrocardiogram, routine ECG with at least 12 leads)

- 93306 (Echocardiography, transthoracic, complete)

- 92950 (Cardiopulmonary resuscitation, CPR)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 36415 (Collection of venous blood by venipuncture)

- 94010 (Breathing capacity test)

- 99238–99239 (Hospital discharge day management)

Selection of CPT codes should be based on the specific services rendered and clinical scenario.

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