ICD-10-CM code · FY2027
I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
BillableValid for claims as a specific diagnosis code
About I50.41
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Coding notes for I50.41
No notes of its own; the notes below apply from the codes above it.
Also applies, from I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure
Code also Another code may be needed as well; the order depends on the encounter.
- end stage heart failure, if applicable (I50.84)
Also applies, from I50 Heart failure
Excludes2 Not part of this condition, but a patient can have both: report both codes when both apply.
Code first Report the underlying condition's code before this one.
- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- heart failure due to hypertension (I11.0)
- heart failure due to hypertension with chronic kidney disease (I13.-)
- heart failure following surgery (I97.13-)
- obstetric surgery and procedures (O75.4)
- rheumatic heart failure (I09.81)
Chapter 9 notes (apply to every code in it)
Excludes2 Not part of this condition, but a patient can have both: report both codes when both apply.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
Related codes in I50.4
Latest research on heart failure
- Polycythemia is not associated with increased mortality in heart failure
- The use of guideline-directed medical therapy for heart failure with reduced ejection fraction is suboptimal
- Influenza vaccination improves survival and reduces readmissions in patients hospitalized for acute heart failure
- Sleep quality patterns may predict outcomes in patients with heart failure:
- Use of pregabalin may increase risk of heart failure in geriatric patients
Landmark trials from 2MM Classics
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See 2MM+ plansICD-10-CM FY2027 code set, as published by the CDC National Center for Health Statistics (NCHS) and CMS, effective October 1, 2026 to September 30, 2027. Codes, titles and notes are shown as published. Check payer rules and the official guidelines before billing. This page is not medical advice.
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