Chronic combined systolic (congestive) and diastolic (congestive) heart failure
Billable / specificHCC V28 226
I50.42 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Excludes2
Not included here — may be reported together when both conditions exist.
- certain conditions originating in the perinatal period (P04-P96) (from I50)
- certain infectious and parasitic diseases (A00-B99) (from I50)
- complications of pregnancy, childbirth and the puerperium (O00-O9A) (from I50)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from I50)
- endocrine, nutritional and metabolic diseases (E00-E88) (from I50)
- injury, poisoning and certain other consequences of external causes (S00-T88) (from I50)
- neoplasms (C00-D49) (from I50)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from I50)
- systemic connective tissue disorders (M30-M36) (from I50)
- transient cerebral ischemic attacks and related syndromes (G45.-) (from I50)
- cardiac arrest (I46.-) (from I50)
- neonatal cardiac failure (P29.0) (from I50)
Code first
Sequence the underlying condition first.
- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8) (from I50)
- heart failure due to hypertension (I11.0) (from I50)
- heart failure due to hypertension with chronic kidney disease (I13.-) (from I50)
- heart failure following surgery (I97.13-) (from I50)
- obstetric surgery and procedures (O75.4) (from I50)
- rheumatic heart failure (I09.81) (from I50)
Code also
An additional code may be needed.
Parent code
- I50.4Combined systolic (congestive) and diastolic (congestive) heart failureHeader