Posting for a fellow coder:
This patient had valve surgery- both mitral and tricuspid.
The med records document all of the following:
HYPERTENSIVE HEART DISEASE. CARDIOMYOPATHY. SEVERE LV DYSFUNCTION WITH EF 20%. ACUTE SYSTOLIC HEART FAILURE. (THIS IS NON ISCHEMIC HEART DISEASE, FYI- coronary anatomy = normal)
In some places it looks like the MD tied the systolic failure to the valve disease, which has been repaired.. and in another place the MD documents hypertensive heart disease, low EF, cardiomyopathy.. the cardiomyopathy would not have been resolved at our SOC, if ever..
I was not sure about coding CARDIOMYOPATHY at the same time as I11.0
But both dx are in the records..
If the patient is no longer in ACUTE systolic heart failure at admission to home health.. what CHF code should we use?