The ICD-10 manual does not list the required documentation for hypertensive heart disease. It is recommended, however, that the provider doc- ument the basis for the diagnosis (exam, electro- cardiogram, echocardiogram, etc.) at least the first time this diagnosis is made for the patient.
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.
I13.10 Hypertensive heart and chronic kidney disease... I13.11 Hypertensive heart and chronic kidney disease... I13.2 Hypertensive heart and chronic kidney disease... I15.1 Hypertension secondary to other renal disorde... I15.2 Hypertension secondary to endocrine disorders...
Hypertensive diseases I10-I16 1 I10 Essential (primary) hypertension 2 I11 Hypertensive heart disease 3 I12 Hypertensive chronic kidney disease 4 I13 Hypertensive heart and chronic kidney disease 5 I15 Secondary hypertension 6 I16 Hypertensive crisis
ICD-10 requires first using an I12 code for the combined diagnosis of hypertension and chronic kidney disease: I12.0, Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end-stage renal disease, I12.9, Hypertensive chronic kidney disease with stage 1 through 4 chronic kidney disease or unspecified chronic kidney disease.
We record this with the systolic pressure first (on the top) and the diastolic pressure second (below). For example, if the systolic pressure is 120 mmHg (millimetres of mercury) and the diastolic pressure is 80 mmHg, we would describe the blood pressure as '120 over 80', written 120/80.
Essential (primary) hypertension (I10) ICD-10 uses a single code for individuals with HTN who do not have additional disorders like heart or kidney disease. Code I10 includes high blood pressure, but it does not include elevated blood pressure reading without a diagnosis of HTN.
Hypertension with certain heart conditions are assigned to a code from category 402, Hypertensive heart disease, when a causal relationship is stated or implied. Use only the code from category 402 to identify both the hypertension and the heart condition, with the exception of heart failure.
That code is I10, Essential (primary) hypertension. As in ICD-9, this code includes “high blood pressure” but does not include elevated blood pressure without a diagnosis of hypertension (that would be ICD-10 code R03. 0).
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.
Hypertension is a serious medical condition and can increase the risk of heart, brain, kidney and other diseases. It is a major cause of premature death worldwide, with upwards of 1 in 4 men and 1 in 5 women – over a billion people – having the condition.
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
Hypertensive heart disease refers to heart problems that occur because of high blood pressure that is present over a long time.
ICD-10 code: R03. 0 Elevated blood-pressure reading, without diagnosis of hypertension.
ICD-10-CM Code for Elevated blood-pressure reading, without diagnosis of hypertension R03. 0.
ICD-10-CM Code for Hypertensive heart disease without heart failure I11. 9.
I50.30. Unspecified diastolic. (congestive) heart failure. I50.40 Unspecified combined systolic (congestive) ... I50.31. Acute diastolic (congestive) heart failure. I50.41 Acute combined systolic (congestive) and. ... I50.32. Chronic diastolic (congestive) heart failure. I50.42 Chronic combined systolic (congestive) and.
ICD-10-CM Code for Hypertensive heart disease without heart failure I11. 9.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as I10-I16. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.