ICD-10-CM assumes a causal relationship and this is coded as hypertensive heart disease with CHF and an additional code for the specific type of heart failure. In this case, the PDX of hypertensive heart disease with CHF (I11.0) is reported as the PDX followed by the code for the heart failure (I50.9) Under the Category I50 in the ICD-10-CM ...
Whether due to heart failure or genetic risk for sudden cardiac arrest, an ICD is implanted to help prevent sudden cardiac arrest. While using an ICD does not reverse heart disease or alter a gene, it does reduce your risk of cardiac arrest. You should also follow your doctor’s instructions for treating your underlying conditions.
The code I50.9 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is commonly used in cardiology medical specialties to specify clinical concepts such as heart failure.
Heart failure is assumed to be due to hypertension when coded using I11. 0, “Hypertensive heart disease with heart failure.” In ICD-10, the word “with” presumes a causal relationship between the two conditions linked by this term.
ICD-10-CM Code for Systolic (congestive) heart failure I50. 2.
For this patient, CHF and hypertension would be coded as code I11. 0, Hypertensive heart disease with heart failure since the causal relationship is assumed due to the word “with” following the main term in the Alphabetic Index under hypertension. Since the heart disease falls within the code range of I50. - or I51.
ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.
Heart failure with reduced ejection fraction (HFrEF), also called systolic failure: The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation.
Systolic congestive heart failure occurs when the heart does not pump blood effectively. It may happen when the heart muscle is too weak or when another health problem prevents it from circulating blood efficiently.
If the provider specifically documents a different cause for the heart condition unrelated to high blood pressure, then the HTN and heart condition should be coded separately and not linked via a combination code. In such cases, sequence according to the circumstances of the admission/encounter.
Primary pulmonary hypertension — also called heritable PAH, idiopathic PAH, primary group 1 pulmonary hypertension, and primary PAH — is reported using I27....Note New Codes for Pulmonary Hypertension.New CodesDescriptionI27.29Other secondary pulmonary hypertension Group 5 pulmonary hypertension5 more rows•Jan 2, 2018
If hypertension, heart failure and chronic kidney disease are all documented, use a combination code from category I13 — hypertensive heart and chronic kidney disease. These are just a few examples of conditions that have an assumed causal relationship in ICD-10-CM.
ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.
0.
R03. 0: Elevated blood-pressure reading, without diagnosis of hypertension.
Hypertensive Heart and Chronic Kidney Disease: The codes in category I13, Hypertensive heart and chronic kidney disease, are combination codes that include hypertension, heart disease and chronic kidney disease, and should be used when there is hypertension with both heart and kidney involvement.
CKD should not be coded as hypertensive if the physician has specifically documented a different cause. The appropriate code from category N18 should be used as a secondary code with a code from category I12 to identify the stage of chronic kidney disease.