ICD-10-CM guideline I.C.9.4 states, “For hypertensive cerebrovascular disease, first assign the appropriate code from categories I60-I69, followed by the appropriate hypertension code.” Notice there is not a specific combination code for hypertensive cerebrovascular disease.
Full Answer
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.
In ICD-10, the diagnosis codes are simplified and the hypertension table is no longer necessary. The concept of controlled and uncontrolled are not a part of the coding choice, although good clinical documentation should include the status of the patient and the type of hypertension being treated.
ICD-10 code I11. 0 for Hypertensive heart disease with heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
I11. 0 - Hypertensive heart disease with heart failure. ICD-10-CM.
Hypertension described as benign, malignant, controlled, uncontrolled, and primary would be coded here unless it belongs in another category code. A condition of elevated blood pressure without a diagnosis of hypertension is classified to code R03.
The two new codes—99473 and 99474—support home blood-pressure monitoring, which provides useful information physicians can use to better diagnose and manage hypertension. Home BP monitoring also helps patients to take an active role in the process.
Code the scenario in ICD-10:Primary and Secondary Diagnoses.M1025.Additional.diagnoses.M1021: Atherosclerotic heart disease of native.M1023: Essential (primary) hypertension.
Per our recent Humana audit, it was indicated that diabetes and hypertension have an assumed relationship and it should be coded as E11. 59 (for type 2 diabetic.)
I27. 0 - Primary pulmonary hypertension | ICD-10-CM.