I50.89
BillableOther heart failure
HCC Category Mapping
V28HCC 226 — Heart Failure, Specified
0.000V24HCC 85 — Congestive Heart Failure
0.368ESRDHCC 85 — Congestive Heart Failure
0.000RxHCCHCC 186 — Heart Failure
0.000What This Code Means
Heart failure that does not fit into the standard categories, such as peripartum cardiomyopathy, stress-induced cardiomyopathy, or other specified types of heart dysfunction.
Coding Tips
Clinical Significance
Other heart failure is a catch-all code for heart failure types not classified in the more specific categories. This may include heart failure due to specific etiologies not otherwise captured or uncommon presentations. While it captures the diagnosis, more specific codes should always be sought when documentation supports them.
Documentation Requirements
- ✓Provider documentation of heart failure that does not fit into systolic, diastolic, combined, right, or end stage categories
- ✓Specific type or description of the heart failure if documented
- ✓Underlying etiology
- ✓Current treatment plan
- ✓Functional status and symptom assessment
- ✓Reason why a more specific heart failure code cannot be assigned
Commonly Confused Codes
I50.9 — Heart failure, unspecified: use when no type or specificity is documented at allI50.82 — Biventricular heart failure: use when both ventricles are failingI50.83 — High output heart failure: use when high output mechanism is documentedI50.84 — End stage heart failure: use when terminal heart failure is documentedI50.1 — Left ventricular failure, unspecified: use when left ventricular failure is specified