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Reader Question: Consider ICD-10 Options for CHF Patient

Posted on 09. Oct, 2013 by in ICD-10

Question: Our patient has a principal diagnosis of congestive heart failure (CHF). She also has coronary artery disease (CAD), hypertension (HTN) and emphysema. She is using oxygen intermittently. How should we code for her?

 Delaware Subscriber

 Answer: List the following diagnoses for this patient:

  • 428.0 (Congestive heart failure, unspecified);
  • 492.8 (Other emphysema);
  • 401.9 (Unspecified Essential hypertension);
  • 414.00 (Coronary atherosclerosis; of unspecified type of vessel, native or graft); and
  • V46.2 (Dependence on supplemental oxygen).

Your patient’s principal diagnosis is CHF, you don’t have additional details about this diagnosis, so 428.0 for CHF unspecified is your first-listed code.

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