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).
Types of hypertensive heart disease
Hypertensive Heart without CHF and Renal Disease describes complications of the heart due to chronic hypertension (high blood pressure) without associated conditions. CHF refers to congestive heart failure which is the failure of the heart is to pump blood, which contains oxygen and nutrients, to the rest of the body.
I13. 10 - Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. ICD-10-CM.
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.
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.
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 Code for Hypertensive heart disease with heart failure- I11. 0- Codify by AAPC.
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.
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.
Hypertensive heart disease is the leading cause of illness and death from high blood pressure. Carrying a lot of extra weight around your middle or sprinkling too much salt onto your food at each meal can cause high blood pressure, otherwise known as hypertension.
HYPERTENSION, SECONDARY Secondary hypertension is due to an underlying condition. Two codes are required: ❖ one to identify the underlying etiology ❖ one from category I15 to identify the hypertension. Sequencing of codes is determined by the reason for admission/encounter. HYPERTENSION, TRANSIENT Assign code R03.
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.
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.
It is well known that patients with chronic kidney disease (CKD) have a strong risk of cardiovascular disease(CVD). However, the excess risk of cardiovascular disease in patients with CKD is only partially explained by the presence of traditional risk factors, such as hypertension and diabetes mellitus.
ICD-10-CM presumes a causal relationship between hypertension and heart involvement and classifies hypertension and heart conditions to category I11 — hypertensive heart disease — because the two conditions are linked by the term with in the alphabetic index of the ICD-10-CM.
9 – Heart Failure, Unspecified. Code I50. 9 is the diagnosis code used for Heart Failure, Unspecified.
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.
Category I11 is subdivided to indicate whether heart failure is present. However, an additional code from category I50 is required to specify the type of heart failure, if known....Coding Spotlight: Hypertension, A providers' guide for coding.CodeDescriptionI11.0Hypertensive heart disease with heart failureI11.9Hypertensive heart disease without heart failure9 more rows
Any condition in I13 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium. Use Additional. code from I13 to identify the type of hypertensive heart and chronic kidney disease. Use Additional: O10.3.
The 2021 edition of ICD-10-CM I13 became effective on October 1, 2020.