I50.43

Billable

Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

Chapter 9: Diseases of the circulatory system

Additional Information

From parent codes: I00-I99 (Chapter 9)

Excludes 2 — Not Included HereFrom I00-I99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • 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.-)

Inpatient DRG Payments

DRG 291304,694 discharges

Heart Failure And Shock With Mcc

Avg. Medicare Payment

$10,022

Total Payment$12,050
Patient Responsibility$2,028
Hospital Charge$56,495
DRG 2925,135 discharges

Heart Failure And Shock With Cc

Avg. Medicare Payment

$7,089

Total Payment$9,533
Patient Responsibility$2,444
Hospital Charge$41,317
DRG 29311 discharges

Heart Failure And Shock Without Cc/mcc

Avg. Medicare Payment

$3,330

Total Payment$4,072
Patient Responsibility$742
Hospital Charge$8,677