I97.88 is a billable diagnosis code used to specify a medical diagnosis of other intraoperative complications of the circulatory system, not elsewhere classified. The code I97.88 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code I97.88 might also be used to specify conditions or terms like arrhythmia during surgery, cardiac arrest during surgery, cardiorespiratory arrest, hypotension during surgery, inadvertent catheterization of artery , injury to blood vessel during surgery, etc.
I97.88 is a billable diagnosis code used to specify a medical diagnosis of other intraoperative complications of the circulatory system, not elsewhere classified. The code I97.88 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Because ICD-10 can be a distressing topic, let's start with some good news: Hypertension has a limited number of ICD-10 codes – only nine codes for primary hypertension and five codes for secondary hypertension. This makes the task of coding hypertension relatively simple – well, at least compared to some of the other ICD-10 complexities.
The exception to this is I15.8, Other secondary hypertension. Because this is an “other” code, the “other” condition must be coded first.
As physicians, we are well aware that hypertension is never truly “benign,” and the removal of this antiquated term is a welcome improvement in the lexicon of diseases. But, of course, nothing is easy in ICD-10, and there are several things you need to be aware of before we dig into the codes themselves.
When an individual has hypertension and heart disease, it is up to the provider to determine whether there is a causal relationship stated or implied. This relationship determination is spelled out in the “Official Guidelines for Coding and Reporting” (draft 2014). 1
The ICD-10 manual does not list the required documentation for hypertensive heart disease. It is recommended, however, that the provider document the basis for the diagnosis (exam, electrocardiogram, echocardiogram, etc.) at least the first time this diagnosis is made for the patient.
In most cases, you would use one of the following codes found in chapter 5 , “Mental, Behavioral, and Neurodevelopmental Disorders”:
Unlike hypertension and heart disease, where the provider must determine whether a causal relationship exists, if the patient has hypertension and develops chronic kidney disease, ICD-10 presumes a cause and effect relationship and classifies the condition as hypertensive chronic kidney disease.