Congestive and Other Types of Heart Failure Coding
Description
Congestive and Other Heart Failure Coding is an online, self-paced course for inpatient, outpatient, and professional fee coders who assign ICD-10-CM diagnosis codes for heart failure. This course reviews key clinical concepts, including types of heart failure, symptom presentation, and common treatment approaches, with emphasis on distinguishing systolic versus diastolic heart failure and identifying acuity. Coders will learn how ICD-10-CM handles heart failure terminology, including the shift away from separate congestive heart failure codes and the use of terms such as HFpEF and HFrEF. The course also addresses related coding challenges such as fluid overload, pleural effusion, and principal diagnosis selection. The course includes 1 AHIMA CEU and supports accurate, consistent coding of heart failure across care settings.
Included Lessons:
- What is Congestive Heart Failure?
- Types of Heart Failure to Include Congestive
- Coding Challenges and (Congestive) Heart Failure
- Congestive Heart Failure When Due To/Linked To Hypertension
- Coding Clinics Pertaining to Congestive Heart Failure
CEUs available for the following credentials:
AHIMA
CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS
Key Takeaways
- In-Depth Understanding of Heart Failure: Participants will have a comprehensive understanding of heart failure, including its types (systolic and diastolic), causes, clinical manifestations, and how it affects the cardiovascular system.
- ICD-10 CM Coding Proficiency: Coders will develop proficiency in assigning accurate ICD-10 CM codes for various types and presentations of heart failure, ensuring correct documentation and compliance with coding guidelines.
- Differentiating Acuity and Type: Participants will learn how to identify acuity indicators and differentiate between systolic and diastolic heart failure, allowing for more precise coding and better patient care documentation.
- Contemporary Terminology: Coders will become familiar with contemporary terms like 'HFpEF' and 'HFrEF' and understand when to apply them in coding heart failure cases.
- Fluid Overload and Related Conditions: The course will provide insights into managing fluid overload and its relationship to heart failure, as well as the coding implications of conditions such as pleural effusion in heart failure cases.
- Principal Diagnosis Selection: Coders will gain knowledge on when heart failure can be used as the principal diagnosis (PDX) and when it should be reported as a secondary diagnosis (SDX) based on guidelines and clinical presentation.
Benefits of Taking this Course
- Enhanced Coding Skills
- Proficiently and Accurately Assign ICD-10-CM Codes for Heart Failure Cases
- Career Advancement
- Acuity Differentiation
- Contemporary Terminology
FAQs
What will I learn about coding congestive and other types of heart failure in ICD-10-CM?
This course explains how ICD-10-CM classifies congestive heart failure and other heart failure types, including systolic, diastolic, combined systolic and diastolic, and acute, chronic, or acute-on-chronic presentations. You’ll learn how provider documentation drives code selection and how to apply heart failure guidelines accurately across different clinical scenarios.
How does the course help coders distinguish between different heart failure types and acuity for correct coding?
The course breaks down clinical terminology commonly used in cardiology documentation and shows how it maps to specific ICD-10-CM heart failure codes. You’ll learn how to identify heart failure type and acuity from the medical record and avoid common errors when documentation is vague, conflicting, or incomplete.
Will this course improve my ability to apply sequencing rules and identify documentation gaps for heart failure coding?
Yes. The course reviews sequencing guidelines for heart failure, especially when it occurs with conditions such as hypertension, cardiomyopathy, or renal disease. You’ll learn what documentation is required to support compliant coding and when a query may be appropriate to clarify heart failure type or status.
About Our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
Overview
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