Acute on chronic right-sided CHF
Patient with CKD stage 3, admitted with CHF exacerbation. ECHO shows intact LV size and systolic performance. EF of 60%. Biatrial dilatation, with mild dilatation of the RV. Moderate pulmonary hypertension. Cardiologist documented that the patient has poor renal function which has been aggravated by the reduced perfusion caused by the right heart failure. I queried to clarify type of heart failure. The attending documented acute on chronic right-sided congestive heart failure. Not sure where to go with this now. Is I50.813 (acute on chronic right heart failure) the correct code assignment?