ICD Code I50.84

ICD code I50.84 is end stage heart failure, indicating the most advanced and severe form of heart failure where the heart can no longer meet the body's needs, often requiring specialized interventions or palliative care.

1. Documented diagnosis of heart failure with advanced symptoms refractory to optimal medical, surgical, and device therapies

2. Persistent severe symptoms at rest (NYHA Class IV) despite guideline-directed management

3. Frequent hospitalizations or emergency visits for heart failure exacerbations

4. Evidence of severe cardiac dysfunction on imaging (e.g., markedly reduced ejection fraction or advanced diastolic dysfunction)

5. Dependence on intravenous inotropic support or mechanical circulatory assistance

6. Signs and symptoms of end-organ dysfunction due to low cardiac output (e.g., worsening renal or hepatic function, hypotension, cachexia)

7. Consideration for advanced therapies such as heart transplantation or palliative care

Relevant CPT codes that may be used to treat ICD code I50.84 include:

- 92950 (Cardiopulmonary resuscitation, manual)

- 92960 (Cardioversion, elective, external)

- 92970 (Cardio assist, intra-aortic balloon pump)

- 33946–33989 (Extracorporeal membrane oxygenation (ECMO) and other cardiac assist procedures)

- 33207–33249 (Insertion, replacement, or removal of permanent pacemaker or implantable defibrillator)

- 33979 (Insertion of ventricular assist device, percutaneous)

- 33975 (Insertion of ventricular assist device, open)

- 36556 (Insertion of non-tunneled centrally inserted central venous catheter)

- 99291–99292 (Critical care, evaluation and management)

- 99468–99476 (Inpatient neonatal and pediatric critical care)

- 99477–99480 (Initial and subsequent hospital care for the neonate)

CPT code selection should be based on the specific services rendered and clinical scenario.

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