I50.81 — Right heart failure
Is I50.81 billable?
No — I50.81 is a non-billable header code. I50.81 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 5 billable codes beneath I50.81.
I50.81 at a glance
| Code | I50.81 |
|---|---|
| Description | Right heart failure |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Inclusion terms
Alternative wording in documentation that is classified to I50.81.
- Right ventricular failure
Code first — inherited from I50
The underlying condition below must be sequenced before I50.81. I50.81 describes a manifestation and cannot be the principal or first-listed diagnosis.
- 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)
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I50.81, but a patient may have both at the same time. When documentation supports it, I50.81 and the excluded code may both be reported.
- 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.-)
Excludes2 — not included here — inherited from I50
The conditions below are not part of I50.81, but a patient may have both at the same time. When documentation supports it, I50.81 and the excluded code may both be reported.
What codes fall under I50.81? (5)
How long has I50.81 existed?
I50.81 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.