ICD-10 I50
Non-Billable HeaderHeart failure
About ICD-10-CM I50
ICD-10-CM code I50 represents Heart failure. This is a non-billable header code in the Circulatory System chapter (block I50). The 2026 edition of ICD-10-CM I50 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of I50, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- cardiac arrest (I46.-)
- neonatal cardiac failure (P29.0)
Coding Notes
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)
Medicare LCD Coverage for I50
Local Coverage Determinations (LCDs) from CMS MACs that list I50 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I50.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I50 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with I50
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To I50
Other codes in section I30-I5A (Other forms of heart disease).
ICD-10 I50, Billing FAQ
Is ICD-10 code I50 billable? +
No, I50 is a non-billable header code. Use a more specific child code from block I50 when submitting claims.
What codes are Type 2 Excludes for I50? +
Type 2 Excludes (may be coded together when both conditions exist): cardiac arrest (I46.-); neonatal cardiac failure (P29.0)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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