As noted earlier, each category is currently divided into malignant, benign, and unspecified essential hypertension with or without heart failure. In ICD-10, this is narrowed to only two base codes: • I11.0, Hypertensive heart disease with heart failure, • I11.9, Hypertensive heart disease without heart failure.
Hypertensive heart disease without heart failure. I11.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM I11.9 became effective on October 1, 2018.
The Guidelines further specify: Hypertension with Heart Disease: Hypertension with heart conditions classified to I50.- or I51.4- I51.9, should be assigned to a code from category I11, Hypertensive heart disease.
Hypertension “with” ICD-10 Coding. 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.
Showing 1-25: Benign hypertensive heart disease with congestive heart failure; Hypertensive heart and kidney disease; Hypertensive heart failure; Malignant hypertensive heart disease with congestive heart failure; Hypertensive heart failure; code to identify type of heart failure (I50.-) code to identify type of heart failure ( I50.-)
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.
Hypertensive heart disease without heart failure I11. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I11. 9 became effective on October 1, 2021.
401.1 - Benign essential hypertension.
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).
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.
Definition. A condition of mild to moderate high blood pressure that has no identifiable cause. [ from NCI]
Once hypertension is established by a physician, a code from category 401 is assigned, with a fourth digit required: 0 for malignant, 1 for benign, and 9 for unspecified. Do not assign a code for benign or malignant hypertension unless it is specifically documented by a physician.
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.
0 Hypertensive heart disease with heart failure and I50. 9 Heart failure, unspecified. Hypertensive Chronic Kidney Disease: Codes from category I12, Hypertensive chronic kidney disease, should be assigned when both hypertension and a condition classifiable to category N18, Chronic kidney disease (CKD), are present.
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).
Hypertensive cardiomyopathy (HTN-CM) is a structural cardiac disorder generally accompanied by concentric left ventricular hypertrophy (LVH) associated with diastolic or systolic dysfunction in patients with persistent systemic hypertension.
High blood pressure is not heart disease on its own. However, having high blood pressure can lead to cardiovascular complications and can weaken or damage your heart. Hypertension is one cause of cardiovascular disease—a term that encompasses the heart and blood vessels.
Code I10 for HTN is assigned when HTN is described as essential, benign or malignant as well as when HTN is not otherwise specified (NOS). hypertensive heart disease: I11. 0 (with heart failure) and I11. 9 (without heart failure).
I10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I10 became effective on October 1, 2021.
Essential (primary) hypertension: I10 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.
ICD-10-CM coding for hypertension Hypertensive crisis can involve hypertensive urgency or emergency. Hypertension can occur with heart disease, chronic kidney disease (CKD) or both. ICD-10-CM classifies hypertension by type as essential or primary (categories I10-I13) and secondary (category I15). 1.