Did you know? You must document both the acuity and the etiology of the heart failure you are treating to receive full credit for the work you do.
Acuity
-Acute or
- “Decompensated” or “Exacerbation” acceptable terminology as well
-Chronic or
-Acute on Chronic
Etiology
-Systolic or Heart Failure with Reduced Ejection Fraction (HFrEF)
- -Simply documenting “EF = ________%” is not sufficient
-Diastolic or Heart Failure with Preserved Ejection Fraction (HFpEF)
-Both
*Note: Using the terminology of “dysfunction” as opposed to “failure” to describe the etiology does not accurately portray your patients’ severity of illness.
*Note: There are no codes for valvular heart failure in ICD-10. Please choose one of the above listed etiologies and then attribute it to the valvular abnormality which caused it.
Download the complete tip, Heart Failure.