AHA Coding Clinic® for ICD-9 - 2004 Issue 4; Clarification

Diastolic and Systolic Failure with Congestive Heart Failure

According to Coding Clinic, Fourth Quarter 2002, pages 52-53, when a diagnosis is listed as systolic, diastolic, or combined systolic and diastolic congestive heart failure, code 428.0, Congestive heart failure, is reported in addition to the new codes that were created for systolic heart failure (428.20-428.23), diastolic heart failure (428.30-428.33), and combined systolic and diastolic heart failure (428.40-428.43). While we understand that the additional code for the congestive heart failure is necessary for specificity, we would like clarification on this matter since there are no instructional notes to “code also 428.0” or “use additional code 428.0” printed in ICD-9-CM under subcategories 428.2, 428.3, or 428.4 (or programmed into the encoders). ...

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