Instead, use the following codes:
how do you code uncontrolled hypertension? Hypertension, whether uncontrolled, untreated or not responding to current medication, is assigned code I10. An instructional note provided for categories I10-I15 states to use an additional code to identify exposure to environmental tobacco smoke (Z77. You may ask, What are ICD 10 codes used for?
What is the ICD 10 code for hypertension? 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).
Information for Patients
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.
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.
I27. 0 - Primary pulmonary hypertension | 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.
High blood pressure forces the heart to work harder to pump blood to the rest of the body. This causes the lower left heart chamber (left ventricle) to thicken. A thickened left ventricle increases the risk of heart attack, heart failure and sudden cardiac death. 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).
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. If heart failure is present, an additional code ...
When assigning diagnosis codes for hypertension (HTN), there is an presumed causal relationship between hypertension and heart involvement, and between hypertension and kidney involvement. The ICD-10-CM Official Guidelines for Coding and Reporting (I.C.9) instruct, “These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.” The Guidelines further specify:
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.
Therefore, since the provider has linked the DM and the CKD in the first example, E11.22 is appropriate. The hypertension code would be I10.
In the ICD-10-CM® Official Guidelines Section I.A.15, the "with" convention states that conditions that follow "with" after the main term in the index and/or have "with" in the code title are assumed to be linked unless the provider indicates that they are unrelated . There is also Coding Clinic® guidance that further clarifies this guideline and indicates that there is an assumed link unless the provider says unrelated or states a different cause.
The guideline "with" which again is also stated at the begining of Chapter 9 states that as long as your Index or Description of the code in the tabular list, any of them 2, have the word "with" you can assume the relationship even when the provider doesnt stated .
If you turn to the alpha index in the codebook you will look for diabetes, under the word diabetes is the word "with" any term indented under the word with is considered to be auto linked with the maid term. the same is true to hypertension. So look to the alpha section of the codebook and look under diabetes and then look under hypertension. In addition the guideline goes on to state the provider does not need to document this relationship when the code set indicates the linkage is automation.
The classification presumes a causal relationship between hypertension andheart involvement and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.
So the "with" in the diabetes diagnosis does not negate the hypertension guideline. Both diabetes and Hypertension are linked by "with" in the alphabetic index. Furthermore the provider must indicate that that they are unrelated. By stating with in the daignosis of the Diabetes CKD, it does not mean he is linking them and not the hypertension as the guideline states we do not have to link the hypertension and heart involvement. He must specifically state as not due to hypertension.
By stating with in the daignosis of the Diabetes CKD, it does not mean he is linking them and not the hypertension as the guideline states we do not have to link the hypertension and heart involvement. He must specifically state as not due to hypertension.