This is why high blood pressure (HBP or hypertension) is the second leading cause of kidney failure. Over time, uncontrolled high blood pressure can cause arteries around the kidneys to narrow, weaken or harden. These damaged arteries are not able to deliver enough blood to the kidney tissue. How your kidneys work
Hypertension can cause kidney disease and is an important cause of kidney failure in many countries. High blood pressure can damage blood vessels in the kidneys, reducing their ability to function properly. If the blood vessels in the kidneys are damaged, they may stop removing wastes and extra fluid from the body.
Long term hypertension and diabetes are two major causes of renal failure, therefore more attention should be paid if you have years of high blood pressure or high blood glucose which are not well controlled.
Chronic gout
If chronic kidney disease is documented with hypertension, a combination code from I12 — hypertensive chronic kidney disease — should be reported. Documentation needs to identify the stage as 1-5 or end stage renal disease (ESRD) in order to report an additional code from category N18 — chronic kidney disease.
I12. 9, Hypertensive chronic kidney disease with stage 1 through 4 chronic kidney disease or unspecified chronic kidney disease.
Renal hypertension is caused by a narrowing in the arteries that deliver blood to the kidney. One or both kidneys' arteries may be narrowed. This is a condition called renal artery stenosis. When the kidneys receive low blood flow, they act as if the low flow is due to dehydration.
CKD is most likely related to both the HTN and the diabetes when all three conditions are present. High blood pressure and high blood sugar in the blood vessels can lead to the deterioration of the vessels, which can then cause damage to the kidneys.
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.
N18. 31- Chronic Kidney Disease- stage 3a. N18. 32- Chronic Kidney Disease- stage 3b.
Diagnosis is by physical examination and renal imaging with duplex ultrasonography, radionuclide imaging, or magnetic resonance angiography. Angiography is done before definitive treatment with surgery or angioplasty.
Symptoms of renovascular hypertension include: High blood pressure at a young age. High blood pressure that suddenly gets worse or is hard to control. Kidneys that are not working well (this can start suddenly)
The most common causes of renovascular hypertension are forms of renal artery stenosis. Atherosclerosis, which is the buildup of plaque in the arteries, is behind 90% of cases.
Hypertensive heart and chronic kidney disease ICD-10-CM I13.
ICD-10 code: E11. 22 Type 2 diabetes mellitus With renal complications With other multiple complications, controlled.
New. 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.)