AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Quarter 1; Ask the Editor
Heart Failure with Preserved or Reduced Ejection Fraction (HFpEF/HFrEF)
If a physician documents heart failure with preserved ejection fraction (HFpEF), heart failure with preserved systolic function, and/or heart failure with reduced ejection fraction (HFrEF), heart failure with low ejection fraction, heart failure with reduced systolic function, or other similar terms, can the coder assume the provider means respectively “diastolic heart failure” or “systolic heart failure,” and apply the proper ICD-10-CM code based on the documented clinical circumstances? ...
Subscribe or sign in to view the full article.
Article Overview
This article explains the coding relevance of newer heart-failure terms such as preserved or reduced ejection fraction and similar phrasing. It is intended for coding professionals and others who review provider documentation and need to understand the article’s scope before reading the full guidance. The piece focuses on documentation interpretation and provider clarification in the context of ICD-10-CM coding.
Why This Topic Matters
Heart-failure terminology is often documented in evolving clinical language, and coders need to know whether the terminology supports a specific ICD-10-CM interpretation. This article helps readers determine whether they should seek clarification when documentation uses newer ejection-fraction-based terms.
What You Will Learn
- How the article frames newer heart-failure terminology in documentation review.
- Why provider clarification may be needed when heart-failure language is not specific.
- The general documentation and coding context addressed by the article.
- How the discussion relates to ICD-10-CM review for heart-failure cases.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com