Is I50.81 a billable ICD-10-CM code?

No. I50.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I50.81 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).

I50.81

I50.81 — Right heart failure

Non-billable headerICD-10-CMright

I50.81 is a non-billable header ICD-10-CM code for right heart failure. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

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

Right ventricular failure

Risk adjustment

I50.81 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 I50.81

5 child codes. Green means billable.

Related codes at this level

Codes that share I50.8. If I50.81 is not quite right, the correct code is usually one of these.

Questions about I50.81

Is I50.81 a billable ICD-10-CM code?: No. I50.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I50.81 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).