When the left ventricle stops working efficiently:
There are other left-sided heart failure complications, as described in the following list:
The three common types are:
To begin, heart failure can develop from either side of the heart, distinguished as left heart failure (LHF) and right heart failure (RHF), all depending on the location of the injury and pre-existing comorbidities. For instance, if the left side of the heart is sufficiently injured, left heart failure will likely develop, and so on.
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.
The combination of hypertension and hypertensive heart disease is currently coded using the ICD-9 402. xx series of codes. As noted earlier, each category is currently divided into malignant, benign, and unspecified essential hypertension with or without heart failure.
What is hypertensive heart disease? Hypertensive heart disease is a long-term condition that develops over many years in people who have high blood pressure. It's a group of medical problems ― like heart failure and conduction arrhythmias ― that can happen when you don't control your high blood pressure (hypertension).
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.
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.
I13. 0 - Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. ICD-10-CM.
Hypertensive heart disease refers to heart problems that occur because of high blood pressure that is present over a long time. Hypertension is a disorder characterized by consistently high blood pressure.
Hypertension increases the workload on the heart inducing structural and functional changes in the myocardium. These changes include hypertrophy of the left ventricle, which can progress to heart failure.
Hypertensive heart disease is the No. 1 cause of death associated with high blood pressure. It refers to a group of disorders that includes heart failure, ischemic heart disease, and left ventricular hypertrophy (excessive thickening of the heart muscle).
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.
401.9 - Unspecified essential hypertension | ICD-10-CM.
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 CodesDescriptionI27.22Pulmonary hypertension due to left heart disease Group 2 pulmonary hypertension5 more rows•Jan 2, 2018
The ICD code I11 is used to code Hypertension. Hypertension (HTN or HT), also known as high blood pressure, is a long term medical condition in which the blood pressure in the arteries is persistently elevated. Blood pressure is expressed by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, ...
Normal blood pressure at rest is within the range of 100–140 millimeters mercury (mmHg) systolic and 60–90 mmHg diastolic.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
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.
John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.