ICD-10 I50.2
Non-Billable HeaderSystolic (congestive) heart failure
About ICD-10-CM I50.2
ICD-10-CM code I50.2 represents Systolic (congestive) heart failure. This is a non-billable header code in the Circulatory System chapter (block I50). The 2026 edition of ICD-10-CM I50.2 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.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under I50.2. Per CMS ICD-10-CM Tabular 2026.
- Heart failure with reduced ejection fraction [HFrEF]
- Systolic left ventricular heart failure
Type 1 Excludes
Pure excludes, these codes can never be coded together with I50.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)
Coding Notes
Code Also
- end stage heart failure, if applicable (I50.84)
Medicare LCD Coverage for I50.2
Local Coverage Determinations (LCDs) from CMS MACs that list I50.2 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 I50.2.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I50.2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with I50.2
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 I50.2
Other codes in section I30-I5A (Other forms of heart disease).
ICD-10 I50.2, Billing FAQ
Is ICD-10 code I50.2 billable? +
No, I50.2 is a non-billable header code. Use a more specific child code from block I50 when submitting claims.
What other names or terms map to I50.2? +
ICD-10 I50.2 includes: Heart failure with reduced ejection fraction [HFrEF]; Systolic left ventricular heart failure.
What codes are Type 1 Excludes for I50.2? +
Type 1 Excludes (never code together with I50.2): combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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