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    v1.0.30
    OpenPayerBilling CodesComposite MeasuresCPT cpt-0001f-heart-failure-assessment-tracking
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    CPT 0001F: Heart Failure Assessment, Supplemental Tracking

    CPT code 0001F is a supplemental tracking code documenting a comprehensive heart failure assessment using specified components; the code represents a clinical quality/monitoring service captured during heart failure care and is used to record that required assessment elements were completed. Service type: clinical quality tracking / assessment documentation. Typical site of service: inpatient or outpatient settings where heart failure care is delivered, including hospitals and ambulatory clinics.

    For related coverage guidance, see recent payer policy updates: Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure, Cardiology - Ivabradine, Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA).

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old patient with a history of ischemic cardiomyopathy presents for routine outpatient cardiology follow-up after recent hospitalization for decompensated heart failure. The clinician performs a structured heart failure assessment during the visit, documenting specific components such as current symptoms (dyspnea, orthopnea, edema), functional status (NYHA class), volume status exam, recent weight and fluid intake, medication adherence and tolerance (ACE inhibitor/ARB, beta-blocker, diuretic), review of implantable device status if present, and a plan for titration or referral. The assessment is recorded in the medical record using the supplemental tracking code 0001F to indicate that the documented elements meet the measure’s component requirements.

    Workflow: The patient is checked in at an outpatient cardiology clinic or a primary care office with heart failure management capability. A nurse obtains vitals, weight, and a focused symptom review. The clinician conducts the comprehensive heart failure component assessment, documents findings and reconciles medications, and enters the 0001F supplemental code in the encounter documentation. If indicated, orders for labs (BMP, BNP), imaging (chest x-ray, echocardiogram), or referral to heart failure clinic are placed.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    93000Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportOften performed during or near the visit to assess cardiac rhythm and ischemia in a patient with heart failure
    71045Radiologic examination, chest; single view, frontalFrequently ordered to evaluate pulmonary congestion or alternative causes of dyspnea identified during the heart failure assessment
    71046Radiologic examination, chest; 2 views, frontal and lateralUsed when more detailed chest imaging is needed to assess volume status or pulmonary edema
    93306Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording; completePerformed to quantify ejection fraction and structural abnormalities that guide heart failure management
    36415Collection of venous blood by venipunctureBasic blood draw for labs such as BMP, BNP, or drug levels ordered after assessment
    96372Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularOccasionally used if urgent parenteral diuretics or medications are administered during the visit as part of management following the assessment

    Note: Data not available in the input for additional related CPT codes.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    93Modifier 93 denotes that a billed service was delivered synchronously via audio-only telecommunications (real-time telephone or other audio-only system). The AMA added modifier 93 in CPT Appendix A…- When to use: Apply modifier -93 when a synchronous, real-time, two-way patient–provider encounter is conducted entirely via audio-only (telephone or other real-time interactive audio-only…
    [object Object]
    76Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
    91Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207RC0000X
    207RH0000X
    208D00000X
    363A00000X
    163W00000X
    261QR0404X
    261QR0400X
    2083S0010X

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
    E11.9Type 2 diabetes mellitus without complications
    E78.5Hyperlipidemia, unspecified
    I11.0Hypertensive heart disease with heart failure
    I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
    I20.9Angina pectoris, unspecified
    I21.9Acute myocardial infarction, unspecified
    I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
    I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood PressureBluecross Idaho2026-11-01
    Cardiology - IvabradineCigna2026-10-15
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Percutaneous Ventricular Assist DeviceUnitedHealthcare2026-10-01
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Left Atrial Appendage Closure Devicesexcellus_health_plan_inc2026-09-17
    Left Atrial Appendage Closure Devicesuniverahealthcare2026-09-17
    Cardiac Omnibus CodesCigna2026-09-15

    Related Codes

    CPT-0005F-OSTEOARTHRITIS-ASSESSMENT-DOCUMENTATION-TRACKING

    CPT 0005F: Osteoarthritis Assessment Documentation

    CPT-0012F-COMMUNITY-ACQUIRED-BACTERIAL-PNEUMONIA-ASSESSMENT

    CPT 0012F: Community-Acquired Bacterial Pneumonia Assessment

    CPT-0014F-PERFORMANCE-MEASURE-DOCUMENTATION

    CPT 0014F: Unspecified Service or Performance Measure

    CPT-0015F-CLINICAL-SERVICE

    CPT 0015F: Anesthesia Safety Check Documentation

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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