Midrange CHF

nicolecopper42@gmail.comnicolecopper42@gmail.com
in Clinical & Coding

Good Afternoon! We are starting to have documentation of midrange EF in addition to HFpEF and HFrEF with our CHF patients. Anyone with an EF of 40-50% has the CHF documented as HFmrEF. How are you capturing the "midrange" or are you initiating a query? I am not sure how to compliantly query to get a diagnosis that is able to be coded. I was looking for some input before meeting with cardiology.

Any insight would be appreciated!

Comments

  • MMascarenazMMascarenaz

    At our facility this has been placed in a guideline format for coding as

    I haven't run into terminology of "midrange" as of yet.

  • nicolecopper42@gmail.comnicolecopper42@gmail.com

    Thank you. We are actually having them document HFmrEF so we are in a bit of a conundrum.

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org

    There is not a specific code for midrange. You should query for diastolic, systolic or combined forms. The term midrange has no reference in ICD-10 and should not be coded to diastolic, systolic or combined.


    P. Evans, RHIA, CCDS

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