icd 10 code for hypertension with heart failure and esrd

by Sonny Bernier MD 7 min read

"I13. 2 - Hypertensive Heart and Chronic Kidney Disease With Heart Failure and With Stage 5 Chronic Kidney Disease, or End Stage Renal Disease." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.

How to treat hypertensive heart disease?

Tips To Treat Hypertensive Heart Disease

  • Stop Smoking And Drinking. This is applicable to both hypertensive and non-hypertensive people. ...
  • Regular Monitoring Of Blood Pressure Is Essential. ...
  • Medications Are Essential To Treat Hypertensive Heart Diseases. ...
  • DASH Diet To Treat Hypertensive Heart Diseases. ...
  • Keep Your Body Weight In Check. ...

How to code for hypertensive heart disease?

Bupropion, sold under the brand names Wellbutrin and Zyban among others, is an atypical antidepressant primarily used to treat major depressive disorder and to support smoking cessation. Bupropion is an effective antidepressant on its own, but it is also popular as an add-on medication in the cases of incomplete response to the first-line selective serotonin reuptake inhibitor (SSRI ...

What is the primary prevention for heart disease?

primary prevention. Patients with elevated blood pressure, prior history of myocardial infarction, and normal systolic function, should consider use of Beta blocker like Metoprolol, especially within three years of the event. Angiotensin blocking drugs have also shown effectiveness for secondary prevention.

What is the definition of hypertensive cardiovascular disease?

Hypertensive heart disease refers to a constellation of changes in the left ventricle, left atrium, and coronary arteries as a result of chronic blood pressure elevation. Hypertension increases the workload on the heart inducing structural and functional changes in the myocardium.

image

How do you code hypertension and end stage renal disease?

ICD-10 requires first using an I12 code for the combined diagnosis of hypertension and chronic kidney disease: I12. 0, Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end- stage renal disease, I12.

How do you code hypertensive heart disease with heart failure?

ICD-10 Code for Hypertensive heart disease with heart failure- I11. 0- Codify by AAPC.

What is ICD-10 code for ESRD?

End Stage Renal Disease ESRD is reported as 585.6 in ICD-9-CM and N18. 6 in ICD-10-CM. Additional guidance is provided in ICD-10-CM under N18. 6 to use additional codes to identify dialysis status (Z99.

What is Hypertensive heart and chronic kidney disease with heart failure?

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).

What is the ICD-10 code for Hypertensive heart disease with CHF?

I11. 0 - Hypertensive heart disease with heart failure. ICD-10-CM.

Do hypertension and heart disease have an assumed causal relationship?

If hypertension, heart failure and chronic kidney disease are all documented, use a combination code from category I13 — hypertensive heart and chronic kidney disease. These are just a few examples of conditions that have an assumed causal relationship in ICD-10-CM.

Can you code acute renal failure and ESRD together?

When both acute renal failure and ESRD are clearly documented in the record, both conditions are to be coded.

What is the ICD-10 for hypertension?

Essential (primary) hypertension: I10 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).

How do you code ESRD?

A patient with the diagnosis of ESRD requires chronic dialysis. Per the Official Guidelines for Coding and Reporting, Section I.C. 14a. 1, If both a stage of CKD and ESRD are documented, the coding professional would assign code N18.

What happens when you have congestive heart failure and kidney failure?

When coupled with Congestive Heart Failure, Chronic Kidney Disease can worsen and vice versa. This results in worsening fluid retention and increased shortness breath, edema and electrolyte abnormalities. CKD & CHF can sometimes be a complex, vicious circle and is often difficult to treat.

What is the link between cardiovascular disease and chronic kidney disease?

Cardiovascular disease (CVD), the leading cause of death, is mostly precipitated by cardiometabolic risk and chronic kidney disease (CKD). CVD and kidney disease are closely interrelated and disease of one organ cause dysfunction of the other, ultimately leading to the failure of both organs.

What is the relationship between heart failure and renal failure?

Relatively recent research has shown that heart failure is a significant risk factor for kidney disease. When the heart is no longer pumping efficiently it becomes congested with blood, causing pressure to build up in the main vein connected to the kidneys and leading to congestion of blood in the kidneys, too.

What is the code for heart disease and chronic kidney disease?

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.

Can CKD be coded as hypertensive?

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.

image