I50
I50 — Heart failure
Non-billable headerICD-10-CM
I50 is a non-billable header ICD-10-CM code for heart failure. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
- 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)
Other codes that can never be billed with I50
These codes carry an Excludes1 note pointing at I50. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I50 alone.
Risk adjustment
I50 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead I50
6 child codes. Green means billable.
Questions about I50
- Is I50 a billable ICD-10-CM code?
- No. I50 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I50 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).