I50.84 — End stage heart failure
I50.84 is a billable, specific ICD-10-CM code for end stage heart failure. It is valid for submission on a claim.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Stage D heart failure
Risk adjustment
I50.84 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 222 End Stage Heart Failure2.505 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.
Medicare coverage
I50.84 is named in 59 Medicare coverage policies — 59 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A53026Billing and Coding: Bariatric Surgery Coverage
- A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
How I50.84 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I50.84.
- Failure, failed›heart›end stage
- Failure, failed›Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV›stage D
Related codes at this level
Codes that share I50.8. If I50.84 is not quite right, the correct code is usually one of these.
Questions about I50.84
- Is I50.84 a billable ICD-10-CM code?
- Yes. I50.84 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I50.84 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).