Please note this question was answered in 2022. The coding advice may or may not be outdated.
Heart Failure
Date: Jan 26, 2022
Question:
I am new to cardiology and want to understand when it is appropriate for me to code heart failure. The provider assesses: chronic hypotension, most likely secondary to her end-stage cardiomyopathy, severe left ventricular dysfunction, and refers the patient for a heart failure transplant. Elsewhere in the note he states, "She is New York Heart Association Class II-III at baseline." Is this sufficient for me to code heart failure?
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