Non-Billable / Non-Specific Code
ICD-10-CM I50.4 is the diagnosis code for Combined systolic (congestive) and diastolic (congestive) heart failure. This code falls under the section "Other forms of heart disease" within Chapter 9 — Diseases of the circulatory system (I00-I99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where I50.4 sits in the ICD-10-CM classification helps ensure proper coding:
No, I50.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
I50.4 is the ICD-10-CM diagnosis code for "Combined systolic (congestive) and diastolic (congestive) heart failure". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of I50.4 is I50 ("Heart failure"). I50.4 provides a more specific classification within this category.
I50.4 is located in Section I30-I5A — "Other forms of heart disease" within Chapter 9 of the ICD-10-CM Tabular List.
I50.4 has 4 sub-code(s) that provide more specific detail: I50.40, I50.41, I50.42, I50.43.
Use I50.4 when the patients documented diagnosis matches "Combined systolic (congestive) and diastolic (congestive) heart failure" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Combined systolic (congestive) and diastolic (congestive) heart failure is I50.4.
No, I50.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.
I50.4 is in Chapter 9 of the ICD-10-CM Tabular List.
Yes, I50.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.