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You should code chronic systolic heart failure for patients with heart failure described with reduced, mildly reduced, or mid-range ejection fraction, according to AHA ICD-10-CM Coding Clinic Volume 7, Issue 3, Sanzone says. This makes perfect sense because systolic failure is recognized as EF < 50%, according to Sanzone.
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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1.
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