Understanding Heart Failure with Preserved Ejection Fraction HFpEF requires accurate clinical documentation and medical coding. This resource provides information on HFpEF diagnosis criteria, including diastolic dysfunction, left ventricular ejection fraction LVEF, and relevant ICD-10 codes. Learn about symptoms, treatment, and best practices for documenting HFpEF in patient charts for optimal reimbursement and improved patient care. Explore guidelines for healthcare professionals regarding HFpEF management and coding accuracy.
Also known as
Heart failure with preserved EF
Heart failure where the ejection fraction is normal or above normal.
Unspecified diastolic heart failure
Heart failure with diastolic dysfunction, unspecified.
Hypertensive heart disease w/HF
Heart failure caused by high blood pressure.
Combined systolic and diastolic HF
Heart failure with both systolic and diastolic dysfunction.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is LVEF >= 50%?
Yes
Diastolic dysfunction?
No
Do NOT code as HFpEF. Consider HFrEF or other diagnoses.
When to use each related code
| Description |
|---|
| Heart failure, preserved ejection fraction |
| Diastolic dysfunction |
| Left ventricular hypertrophy |
Coding HFpEF without specifying diastolic dysfunction type (e.g., Grade 1-3) leads to inaccurate severity capture and reimbursement.
Failing to code associated conditions like hypertension, diabetes, or atrial fibrillation impacts risk adjustment and quality reporting.
Miscoding acute decompensated HFpEF as chronic HFpEF or vice versa can skew data and lead to improper treatment plans.
Patient presents with complaints consistent with heart failure with preserved ejection fraction (HFpEF). Symptoms include dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, and fatigue. Physical examination 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 diastolic dysfunction, including impaired left ventricular relaxation and elevated filling pressures. Left ventricular hypertrophy is also noted. BNP levels are elevated. Medical history significant for hypertension, diabetes mellitus type 2, and obesity. Assessment: Heart failure with preserved ejection fraction (HFpEF). Plan: Initiate diuretic therapy for symptom management and fluid overload. Optimize management of comorbidities, including hypertension and diabetes. Patient education provided regarding sodium restriction, fluid management, and the importance of medication adherence. Follow-up scheduled in two weeks to assess response to therapy and adjust medications as needed. Differential diagnoses considered included chronic obstructive pulmonary disease (COPD) and sleep apnea, but clinical findings and diagnostic testing support the diagnosis of HFpEF. ICD-10 code I50.31, Heart failure with preserved ejection fraction.