Managing Acute On Chronic Diastolic CHF: Understanding The ICD-10 Codes
What is Acute on Chronic Diastolic CHF ICD-10?
Acute on chronic diastolic congestive heart failure (CHF) is a specific type of heart failure that occurs when the heart is unable to pump blood effectively to the rest of the body. Diastolic heart failure is characterized by a stiffening of the heart muscle, which makes it difficult for the heart to relax and fill with blood during the resting phase of the cardiac cycle. When this condition worsens suddenly, it is known as acute on chronic diastolic CHF.
Code Information
The ICD-10 code for acute on chronic diastolic CHF is I50.32.
Diagnostic Related Groups (MS-DRG)
The Medicare Severity-Diagnosis Related Group (MS-DRG) for acute on chronic diastolic CHF is MS-DRG 291 – Heart Failure and Shock with Major Complication or Comorbidity.
Convert to ICD-9 Code
The equivalent ICD-9 code for acute on chronic diastolic CHF is 428.32.
Code History
The ICD-10 code for acute on chronic diastolic CHF was introduced in October 2015 as part of the U.S. healthcare industry’s transition to the new coding system.
Approximate Synonyms
Acute on chronic diastolic heart failure
Acute decompensated diastolic heart failure
Clinical Information
Patients with acute on chronic diastolic CHF typically present with symptoms such as shortness of breath, fatigue, swelling in the legs and abdomen, and difficulty breathing when lying flat. Diagnosis is confirmed through a physical examination, medical history review, imaging tests (such as echocardiography), and blood tests.
Causes
The underlying causes of acute on chronic diastolic CHF include hypertension, coronary artery disease, valvular heart disease, diabetes, and obesity. These conditions can lead to a thickening and stiffening of the heart muscle, impairing its ability to effectively pump blood.
Symptoms
Common symptoms of acute on chronic diastolic CHF include:
Shortness of breath
Fatigue
Swelling in the legs and abdomen
Difficulty breathing when lying flat
Diagnosis
Diagnosis of acute on chronic diastolic CHF is based on a combination of symptoms, physical examination findings, imaging tests, and blood work. Echocardiography is a key diagnostic tool that can assess the structure and function of the heart, including the presence of diastolic dysfunction.
Treatment
Treatment for acute on chronic diastolic CHF aims to alleviate symptoms, improve heart function, and prevent disease progression. This may include medications such as diuretics, ACE inhibitors, beta-blockers, and calcium channel blockers, as well as lifestyle modifications like a heart-healthy diet, regular exercise, and weight management.
Conclusion
Acute on chronic diastolic congestive heart failure is a serious condition that requires prompt diagnosis and appropriate management to prevent complications and improve quality of life for affected individuals. By understanding the causes, symptoms, diagnosis, and treatment options for this condition, healthcare providers can better care for patients with acute on chronic diastolic CHF.
FAQs
1. What is the difference between acute on chronic diastolic CHF and systolic CHF?
Acute on chronic diastolic CHF is characterized by a stiffening of the heart muscle, while systolic CHF is characterized by a weakening of the heart muscle. The two conditions have different underlying causes and treatment approaches.
2. Can acute on chronic diastolic CHF be cured?
While there is no cure for heart failure, proper management of acute on chronic diastolic CHF can help improve symptoms and quality of life for affected individuals.
3. How is acute on chronic diastolic CHF diagnosed?
Diagnosis of acute on chronic diastolic CHF typically involves a physical examination, medical history review, imaging tests, and blood work
