I50.82

I50.82: Biventricular heart failure

Billable / specific codeICD-10-CM

I50.82 is a billable, specific ICD-10-CM code for biventricular heart failure. It is valid for submission on a claim.

Check I50.82 with the rest of the claim: free scrubber

Code also

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

the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)

Excludes2 inherited from the categories above I50.82

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 I50.82

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

I50.814Right heart failure due to left heart failure

Risk adjustment

I50.82 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 226 Heart Failure, Except End Stage and Acute0.360 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I50.82 is named in 38 Medicare coverage policies: 38 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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