I50.21

Acute systolic (congestive) heart failure

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC225

Acute Heart Failure (Excludes Acute on Chronic)

CMS-HCC ESRD V24

HCC85

Congestive Heart Failure

RxHCC V08

RXHCC186

Heart Failure

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from I50.2Systolic (congestive) heart failure
Excludes 1

combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)

Code also

end stage heart failure, if applicable (I50.84)

Synonyms

Heart failure with reduced ejection fraction [HFrEF] Systolic left ventricular heart failure

Inherited from I50Heart failure
Excludes 2

cardiac arrest (I46.-) neonatal cardiac failure (P29.0)

Code first

heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8) heart failure due to hypertension (I11.0) heart failure due to hypertension with chronic kidney disease (I13.-) heart failure following surgery (I97.13-) obstetric surgery and procedures (O75.4) rheumatic heart failure (I09.81)

Inherited from chapter 9Diseases of the circulatory system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) systemic connective tissue disorders (M30-M36) transient cerebral ischemic attacks and related syndromes (G45.-)

Official Guidelines for I50.21

FY 2026 ›