ICD-10 Code for Failure

The ICD-10-CM 2027 alphabetic index lists failure, failed with the subterms below. More specific codes depend on the details documented, as listed in the official index (152 codes, 144 billable).

Index entries for Failure

abortion – see Abortion, attempted
aortic (valve) – I35.8
- rheumatic – I06.8
attempted abortion – see Abortion, attempted
biventricular – I50.82
- due to left heart failure – I50.814
bone marrow – see Anemia, aplastic
cardiac – see Failure, heart
cardiorenal (chronic) – I50.9 – see also Failure, renal, and Failure, heart
- hypertensive – I13.2
cardiorespiratory – R09.2 – see also Failure, heart
cardiovascular (chronic) – see Failure, heart
cerebrovascular – I67.9
cervical dilatation in labor – O62.0
circulation, circulatory (peripheral) – R57.9
- newborn – P29.89
compensation – see Disease, heart
compliance with medical treatment or regimen – see Noncompliance
congestive – see Failure, heart, congestive
dental implant (endosseous) – M27.69
- due to
  - failure of dental prosthesis – M27.63
  - lack of attached gingiva – M27.62
  - occlusal trauma (poor prosthetic design) – M27.62
  - parafunctional habits – M27.62
  - periodontal infection (peri-implantitis) – M27.62
  - poor oral hygiene – M27.62
- osseointegration – M27.61
  - due to
    - complications of systemic disease – M27.61
    - poor bone quality – M27.61
  - iatrogenic – M27.61
- post-osseointegration
  - biological – M27.62
  - due to complications of systemic disease – M27.62
  - iatrogenic – M27.62
  - mechanical – M27.63
- pre-integration – M27.61
- pre-osseointegration – M27.61
- specified NEC – M27.69
descent of head (at term) of pregnancy (mother) – O32.4 (header)
endosseous dental implant – see Failure, dental implant
engagement of head (term of pregnancy) (mother) – O32.4 (header)
erection (penile) – N52.9 – see also Dysfunction, sexual, male, erectile
- nonorganic – F52.21
examination (s) – Z55.2
expansion terminal respiratory units (newborn) (primary) – P28.0
forceps NOS (with subsequent cesarean delivery) – O66.5
gain weight (child over 28 days old) – R62.51
- adult – R62.7
- newborn – P92.6
genital response (male) – F52.21
- female – F52.22
heart (acute) (senile) (sudden) – I50.9
- with
  - acute pulmonary edema – see Failure, ventricular, left
  - decompensation – I50.9
    - with
      - normal ejection fraction – I50.33
      - preserved ejection fraction – I50.33
      - reduced ejection fraction – I50.23
        with diastolic dysfunction – I50.43
    - combined systolic and diastolic – I50.43
    - diastolic – I50.33
    - right – I50.813
    - systolic – I50.23
  - dilatation – see Disease, heart
  - hypertension – see Hypertension, heart
  - normal ejection fraction – see Failure, heart, diastolic
  - preserved ejection fraction – see Failure, heart, diastolic
  - reduced ejection fraction – see Failure, heart, systolic
- arteriosclerotic – I70.90
- biventricular – I50.82
  - due to left heart failure – I50.814
- combined left-right sided – I50.82
  - due to left heart failure – I50.814
- compensated – I50.9 – see also Failure, heart, by type as diastolic or systolic, chronic
- complicating
  - anesthesia (general) (local)
    - in labor and delivery – O74.2
    - in pregnancy – O29.12- (header)
    - postpartum, puerperal – O89.1
  - delivery (cesarean) (instrumental) – O75.4
- congestive – I50.9
  - with rheumatic fever (conditions in I00)
    - active – I01.8
    - inactive or quiescent (with chorea) – I09.81
  - newborn – P29.0
  - rheumatic (chronic) (inactive) (with chorea) – I09.81
    - active or acute – I01.8
      - with chorea – I02.0
- decompensated – I50.9 – see also Failure, heart, by type as diastolic or systolic, acute and chronic
- degenerative – see Degeneration, myocardial
- diastolic (congestive) (left ventricular) – I50.30
  - acute (congestive) – I50.31
    - and (on) chronic (congestive) – I50.33
  - chronic (congestive) – I50.32
    - and (on) acute (congestive) – I50.33
  - combined with systolic (congestive) – I50.40
    - acute (congestive) – I50.41
      - and (on) chronic (congestive) – I50.43
    - chronic (congestive) – I50.42
      - and (on) acute (congestive) – I50.43
- due to presence of cardiac prosthesis – I97.13- (header)
- end stage – I50.84 – see also Failure, heart, by type as diastolic or systolic, chronic
- following cardiac surgery – I97.130
- following other surgery – I97.131
- high output NOS – I50.83
- hypertensive – see Hypertension, heart
- left (ventricular) – see also Failure, ventricular, left
  - combined diastolic and systolic – see Failure, heart, diastolic, combined with systolic
  - diastolic – see Failure, heart, diastolic
  - systolic – see Failure, heart, systolic
- low output (syndrome) – I50.9
- newborn – P29.0
- organic – see Disease, heart
- peripartum – O90.3
- postprocedural – I97.13- (header)
- rheumatic (chronic) (inactive) – I09.9
- right (isolated) (ventricular) – I50.810
  - acute – I50.811
    - and (on) – I50.813
  - chronic – I50.812
    - and acute – I50.813
  - secondary to left heart failure – I50.814
- specified NEC – I50.89
Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV
- stage A – Z91.89
- stage B – I50.9 – see also Failure, heart, by type as diastolic or systolic, if known
- stage C – I50.9 – see also Failure, heart, by type as diastolic or systolic, if known
- stage D – I50.84 – see also Failure, heart, by type as diastolic or systolic, chronic
- systolic (congestive) (left ventricular) – I50.20
  - acute (congestive) – I50.21
    - and (on) chronic (congestive) – I50.23
  - chronic (congestive) – I50.22
    - and (on) acute (congestive) – I50.23
  - combined with diastolic (congestive) – I50.40
    - acute (congestive) – I50.41
      - and (on) chronic (congestive) – I50.43
    - chronic (congestive) – I50.42
      - and (on) acute (congestive) – I50.43
- thyrotoxic – E05.90 – I43 [manifestation] – see also Thyrotoxicosis
  - with
    - high output – I50.83 – see also Thyrotoxicosis
    - thyroid storm – E05.91 – I43 [manifestation]
      - high output – I50.83 – see also Thyrotoxicosis
- valvular – see Endocarditis
hepatic – K72.90
- with coma – K72.91
- acute or subacute – K72.00
  - with coma – K72.01
  - due to drugs – K71.10
    - with coma – K71.11
- alcoholic (acute) (chronic) (subacute) – K70.40
  - with coma – K70.41
- chronic – K72.10
  - with coma – K72.11
  - due to drugs (acute) (subacute) (chronic) – K71.10
    - with coma – K71.11
- due to drugs (acute) (subacute) (chronic) – K71.10
  - with coma – K71.11
- end stage – K72.10
  - with coma – K72.11
- postprocedural – K91.82
hepatorenal – K76.7
induction (of labor) – O61.9
- abortion – see Abortion, attempted
- by
  - oxytocic drugs – O61.0
  - prostaglandins – O61.0
- instrumental – O61.1
- mechanical – O61.1
- medical – O61.0
- specified NEC – O61.8
- surgical – O61.1
intestinal – K90.83
intubation during anesthesia – T88.4 (header)
- in pregnancy – O29.6- (header)
- labor and delivery – O74.7
- postpartum, puerperal – O89.6
involution, thymus (gland) – E32.0
kidney – N19 – see also Disease, kidney, chronic
- acute – N17.9- – see also Failure, renal, acute
- diabetic – see E08-E13 with .22
lactation (complete) – O92.3
- partial – O92.4
Leydig's cell, adult – E29.1
liver – see Failure, hepatic
menstruation at puberty – N91.0
mitral – I05.8
myocardial, myocardium – I50.9 – see also Failure, heart
- chronic – I50.9 – see also Failure, heart, congestive
- congestive – I50.9 – see also Failure, heart, congestive
newborn screening – see Abnormal, neonatal screening
- neonatal congenital heart disease – P09.5
orgasm (female) (psychogenic) – F52.31
- male – F52.32
ovarian (primary) – E28.39
- iatrogenic – E89.40
  - asymptomatic – E89.40
  - symptomatic – E89.41
- postprocedural (postablative) (postirradiation) (postsurgical) – E89.40
  - asymptomatic – E89.40
  - symptomatic – E89.41
ovulation causing infertility – N97.0
polyglandular, autoimmune – E31.0
prosthetic joint implant – see Complications, joint prosthesis, mechanical, breakdown, by site
renal – N19
- with
  - tubular necrosis (acute) – N17.0
- acute – N17.9
  - with
    - cortical necrosis – N17.1
    - medullary necrosis – N17.2
    - tubular necrosis – N17.0
  - specified NEC – N17.8
- chronic – N18.9
  - hypertensive – see Hypertension, kidney
- congenital – P96.0
- end stage (chronic) – N18.6
  - due to hypertension – I12.0
- following
  - abortion – see Abortion by type complicated by specified condition NEC
  - crushing – T79.5 (header)
  - ectopic or molar pregnancy – O08.4
  - labor and delivery (acute) – O90.49
- hypertensive – see Hypertension, kidney
- postprocedural – N99.0
respiration, respiratory – J96.90
- with
  - hypercapnia – J96.92
  - hypercarbia – J96.92
  - hypoxia – J96.91
- acute – J96.00
  - with
    - hypercapnia – J96.02
    - hypercarbia – J96.02
    - hypoxia – J96.01
- center – G93.89
- acute and (on) – J96.20
  - with
    - hypercapnia – J96.22
    - hypercarbia – J96.22
    - hypoxia – J96.21
- chronic – J96.10
  - with
    - hypercapnia – J96.12
    - hypercarbia – J96.12
    - hypoxia – J96.11
- newborn – P28.5
- postprocedural (acute) – J95.821
  - acute and chronic – J95.822
rotation
- cecum – Q43.3
- colon – Q43.3
- intestine – Q43.3
- kidney – Q63.2
sedation (conscious) (moderate) – T88.52 (header)
- history of – Z92.83
segmentation – see also Fusion
- fingers – see Syndactylism, complex, fingers
- vertebra – Q76.49
  - with scoliosis – Q76.3
seminiferous tubule, adult – E29.1
senile (general) – R54
sexual arousal (male) – F52.21
- female – F52.22
testicular endocrine function – E29.1
to thrive (child over 28 days old) – R62.51
- adult – R62.7
- newborn – P92.6
transplant – T86.92
- bone – T86.831
  - marrow – T86.02
- cornea – T86.841- (header)
- heart – T86.22
  - with lung (s) – T86.32
- intestine – T86.851
- kidney – T86.12
- liver – T86.42
- lung (s) – T86.811
  - with heart – T86.32
- pancreas – T86.891
- skin (allograft) (autograft) – T86.821
- specified organ or tissue NEC – T86.891
- stem cell (peripheral blood) (umbilical cord) – T86.5
trial of labor (with subsequent cesarean delivery) – O66.40
- following previous cesarean delivery – O66.41
tubal ligation – N99.89
urinary – see Disease, kidney, chronic
vacuum extraction NOS (with subsequent cesarean delivery) – O66.5
vasectomy – N99.89
ventouse NOS (with subsequent cesarean delivery) – O66.5
ventricular – I50.9 – see also Failure, heart
- left – I50.1 – see also Failure, heart, left
  - with rheumatic fever (conditions in I00)
    - active – I01.8
      - with chorea – I02.0
    - inactive or quiescent (with chorea) – I09.81
  - rheumatic (chronic) (inactive) (with chorea) – I09.81
    - active or acute – I01.8
      - with chorea – I02.0
- right – see Failure, heart, right
vital centers, newborn – P91.88

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.