Groundbreaking: First-Ever HCC RAF Score Accessible Through REST API

First-Ever HCC RAF Score Accessible Through REST API

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ICD-10-CM Codes I00-I99 I30-I5A I50 I50.43

ICD-10-CM Diagnosis Code I50.43

Effective Date: 10/01/2015 To 09/30/2025

Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

CMS-HCC-V24	CMS-HCC-V28	RxHCC	Age	Gender	Maternity	Acute or Chronic	MCC
85	224	186	--	--	--	Acute	Yes

Back-references to I50.43

Failure, failed

Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV
- systolic(congestive) (left ventricular) I50.20
  - combined with diastolic(congestive) I50.40
    - acute(congestive) I50.41
      - and(on) chronic (congestive) I50.43
    - chronic(congestive) I50.42
      - and(on) acute (congestive) I50.43
heart(acute) (senile) (sudden) I50.9
- diastolic(congestive) (left ventricular) I50.30
  - combined with systolic(congestive) I50.40
    - acute(congestive) I50.41
      - and(on) chronic (congestive) I50.43
    - chronic(congestive) I50.42
      - and(on) acute (congestive) I50.43
- with
  - decompensation I50.9
    - combined systolic and diastolic I50.43
    - with
      - reduced ejection fraction I50.23
        with diastolic dysfunction I50.43

Chapter, Section and Diagnosis Prefix for I50.43

Diseases of the circulatory system

Other forms of heart disease

Heart failure