New Guidelines for Coding HFpEF and HFrEF
RHIT, CDIP, CCS, CCS-P
Director of Coding Quality Assurance
AHIMA Approved ICD-10-CM/PCS Trainer
AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS has reconsidered the coding of terms HFpEF or HFrEF when documented by the provider. This is effective with March 18, 2016 discharges. These terms are more contemporary and being used more often.
Heart failure with preserved ejection fraction (diastolic heart failure)
Heart failure with reduced ejection fraction (systolic heart failure)
This is great news for coders and should reduce the number of queries or number of unspecified heart failure codes assigned at the facility you code for.
Reference: AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016, Pages 10-11
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
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