Understand congestive heart failure with diastolic dysfunction, also known as diastolic heart failure or HFpEF. This resource provides information on diagnosis, clinical documentation, and medical coding for heart failure with preserved ejection fraction. Learn about relevant healthcare guidelines and improve your clinical understanding of diastolic dysfunction and its impact on patient care.
Also known as
Diastolic heart failure
Heart failure with preserved ejection fraction.
Heart failure
Covers various types of heart failure.
Hypertensive heart disease
Heart conditions related to high blood pressure, a common cause of diastolic dysfunction.
Left ventricular diastolic dysfunction
Specifically describes impaired relaxation/filling of the left ventricle.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the primary diagnosis Heart Failure with Diastolic Dysfunction?
Yes
Is there left ventricular diastolic dysfunction documented?
No
Do NOT code as Diastolic Heart Failure. Review patient record for alternative diagnosis.
When to use each related code
| Description |
|---|
| Heart pumps normally but doesn't relax enough to fill |
| Heart doesn't pump blood effectively, reduced EF |
| General term for heart's inability to pump enough blood |
Coding CHF without specifying diastolic dysfunction leads to inaccurate severity and reimbursement.
Overcoding HFpEF without proper documentation of preserved ejection fraction can trigger audits.
Failing to code associated conditions like hypertension or diabetes impacts risk adjustment.
Q: How can I differentiate between diastolic heart failure and systolic heart failure in patients with symptoms of congestive heart failure?
A: Differentiating between diastolic heart failure (HFpEF) and systolic heart failure (HFrEF) requires a comprehensive evaluation. While both present with symptoms like dyspnea and fatigue, the key distinction lies in the left ventricular ejection fraction (LVEF). HFpEF is characterized by a preserved LVEF (>=50%), meaning the heart contracts normally but has difficulty relaxing and filling during diastole. HFrEF, conversely, features a reduced LVEF (<40%), indicating impaired contractility. Further diagnostic evaluation includes echocardiography to assess diastolic function parameters like E/e' ratio and left atrial volume. B-type natriuretic peptide (BNP) levels can be elevated in both but tend to be higher in HFrEF. Explore how incorporating these diagnostic criteria can enhance the accuracy of heart failure classification in your practice.
Q: What are the best evidence-based treatment strategies for managing diastolic heart failure with preserved ejection fraction (HFpEF) in older adults?
A: Managing heart failure with preserved ejection fraction (HFpEF), especially in older adults, focuses on symptom control and addressing comorbidities. Unlike HFrEF, there is no single magic bullet. Evidence-based strategies include aggressive blood pressure control, often with multiple medications, to optimize diastolic filling. Diuretics can manage fluid overload and relieve symptoms like dyspnea. Comorbidity management is crucial; optimizing diabetes, sleep apnea, and chronic kidney disease can significantly improve outcomes. Given the complex interplay of factors in HFpEF, personalized treatment plans are essential. Consider implementing a multidisciplinary approach involving cardiology, geriatrics, and other specialists to enhance patient care. Learn more about the latest clinical trial data informing HFpEF management in the elderly.
Patient presents with complaints consistent with congestive heart failure with diastolic dysfunction, also known as diastolic heart failure or heart failure with preserved ejection fraction (HFpEF). Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and fatigue. Physical exam reveals bibasilar rales, elevated jugular venous pressure, and peripheral edema. The patient denies chest pain. Echocardiogram demonstrates normal left ventricular ejection fraction (LVEF) greater than or equal to 50%, with evidence of impaired left ventricular relaxation and elevated filling pressures, consistent with HFpEF. Diagnosis of diastolic heart failure is based on clinical presentation, symptoms, and echocardiographic findings. Differential diagnosis includes other causes of dyspnea such as COPD and pulmonary hypertension. Treatment plan includes diuretics for fluid management, optimization of blood pressure control with antihypertensives, and patient education regarding sodium restriction and fluid management. Follow-up echocardiogram scheduled to monitor cardiac function and response to therapy. Patient advised to return to the clinic sooner if symptoms worsen. ICD-10 code I50.31, Heart failure with preserved ejection fraction, is documented for medical billing and coding purposes. Continued monitoring and management of heart failure symptoms and underlying risk factors will be necessary.