ICD-10-CM › I00-I99 › I30-I5A › I50 Heart failure › I50.4
I50.4
Combined systolic (congestive) and diastolic (congestive) heart failure
Not billableICD-10-CM diagnosis code.
This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.
Submit one of these 4 more specific codes instead:
- I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
- I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
- I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure
- I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
What has happened to this code
Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.
- FY2012 Added to the draft code set draft Combined systolic (congestive) and diastolic (congestive) heart failure
Official coding rules
Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.
Inherited from I50 Heart failure
Excludes2 - not included here
- cardiac arrest (I46.-)
- neonatal cardiac failure (P29.0)
Code first
- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- heart failure due to hypertension (I11.0)
- heart failure due to hypertension with chronic kidney disease (I13.-)
- heart failure following surgery (I97.13-)
- obstetric surgery and procedures (O75.4)
- rheumatic heart failure (I09.81)
Codes in the same group
| Code | Description | Status |
|---|---|---|
| I50.1 | Left ventricular failure, unspecified | Valid |
| I50.2 | Systolic (congestive) heart failure | Not billable |
| I50.3 | Diastolic (congestive) heart failure | Not billable |
| I50.8 | Other heart failure | Not billable |
| I50.9 | Heart failure, unspecified | Valid |