I50 Heart failure

The ICD-10-CM code for Heart failure is I50 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Chapter

9: Diseases of the circulatory system (I00-I99)

Section

I30-I5A: Other forms of heart disease (I30-I5A)

Category I50

29 codes (23 billable)

FY2026 Status

Stable since FY2024

Official Coding Guidelines

I11 + addl code for I50/I51 heart conditions (incl I50.-, I51.4, I51.89, I51.9)

1) Hypertension with Heart Disease Hypertension with heart conditions classified to I50.-, Heart failure, I51.4, Myocarditis, unspecified, I51.89, Other ill-defined heart diseases, and I51.9, Heart disease, unspecified, is assigned to a code from category I11, Hypertensive heart disease. Use additional code(s) from category I50, Heart failure, or I51, Complications and ill-defined descriptions of heart disease, to identify the heart condition.

Code separately if documented unrelated; assign I10 or I15; sequence per encounter

The same heart conditions (I50.-, I51.4-I51.7, I51.89, I51.9) with hypertension are coded separately if the provider has documented they are unrelated to the hypertension. The applicable hypertension code I10, Essential (primary) hypertension, or a code from category I15, Secondary hypertension, should be assigned. Sequence according to the circumstances of the admission/encounter.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool