ICD-10-CM assumes a causal relationship and this is coded as hypertensive heart disease with CHF and an additional code for the specific type of heart failure. In this case, the PDX of hypertensive heart disease with CHF (I11.0) is reported as the PDX followed by the code for the heart failure (I50.9) Under the Category I50 in the ICD-10-CM ...
I10 is a valid billable ICD-10 diagnosis code for Essential (primary) hypertension. It is found in the 2020 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2019 - Sep 30, 2020. Essential hypertension is high blood pressure that doesn't have a known secondary cause.
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
The combination of hypertension and hypertensive heart disease is currently coded using the ICD-9 402. xx series of codes. As noted earlier, each category is currently divided into malignant, benign, and unspecified essential hypertension with or without heart failure.
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.
ICD-10 code I11. 0 for Hypertensive heart disease with heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
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.
The code for essential (primary) hypertension, I10, does not include elevated blood pressure without a diagnosis of hypertension. heart disease: I11. 0 (with heart failure) and I11. 9 (without heart failure).
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.
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. Blood pressure readings are given as two numbers.
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.
Type 2 diabetes mellitus with other circulatory complications. E11. 59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
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.
Patient is discharged with final diagnosis of exacerbated CHF, and a secondary diagnosis of hypertension.
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
Print Post. Hypertensive heart disease refers to a group of disorders that includes heart failure, ischemic heart disease, and left ventricular hypertrophy. It is the number one cause of death associated with high blood pressure.
Documentation must state (heart failure due to hypertension) or imply a causal relationship (hypertensive heart failure) to assign a code from category I11, Hypertensive heart disease. Guidelines state that there is a presumptive cause-and-effect relationship between hypertension and chronic kidney disease. If a patient has all three conditions ...