I50.4

I50.4: Combined systolic (congestive) and diastolic (congestive) heart failure

Non-billable headerICD-10-CM

I50.4 is a non-billable header ICD-10-CM code for combined systolic (congestive) and diastolic (congestive) heart failure. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

end stage heart failure, if applicable (I50.84)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Combined systolic and diastolic left ventricular heart failure
Heart failure with reduced ejection fraction and diastolic dysfunction

Excludes2 inherited from the categories above I50.4

Not part of this code, but both may be coded when both are present.

Written on I50: Heart failure

cardiac arrest (I46.-)
neonatal cardiac failure (P29.0)

Other codes that can never be billed with I50.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

I50.2Systolic (congestive) heart failure
I50.3Diastolic (congestive) heart failure

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I50.4

4 child codes. Green means billable.