I50.4
Non-billableCombined systolic and diastolic (congestive) hrt fail
Combined systolic (congestive) and diastolic (congestive) heart failure
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
- Combined systolic and diastolic left ventricular heart failure
- Heart failure with reduced ejection fraction and diastolic dysfunction
Excludes 2
Conditions not included here, but the patient may have both
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
- cardiac arrest (I46.-)
- neonatal cardiac failure (P29.0)
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)
Code Also
A second code may be required; sequencing depends on circumstances
- end stage heart failure, if applicable (I50.84)
Child Codes (4)
Also Known As / Clinical Terms
Frequently Asked Questions
What is ICD-10 code I50.4?
ICD-10-CM code I50.4 represents "Combined systolic (congestive) and diastolic (congestive) heart failure". It is a non-billable header code — use a more specific child code for billing purposes.
Is I50.4 a billable code?
No, I50.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 4 child codes under I50.4.
What chapter is I50.4 in?
I50.4 is in Chapter 9: Diseases of the Circulatory System (codes I00-I99).
What are the subcategories under I50.4?
I50.4 has 4 child codes, including: I50.40 (Unsp combined systolic and diastolic (congestive) hrt fail), I50.41 (Acute combined systolic and diastolic (congestive) hrt fail), I50.42 (Chronic combined systolic and diastolic hrt fail), I50.43 (Acute on chronic combined systolic and diastolic hrt fail).
What are the UMLS CUIs for I50.4?
I50.4 is linked to 3 UMLS Concept Unique Identifiers: C2882272, C4509227, C4509228. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.