Hypertensive heart disease with heart failure. I11.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I11.0 became effective on October 1, 2018.
As noted earlier, each category is currently divided into malignant, benign, and unspecified essential hypertension with or without heart failure. In ICD-10, this is narrowed to only two base codes: • I11.0, Hypertensive heart disease with heart failure, • I11.9, Hypertensive heart disease without heart failure.
In this regard, how do you code malignant hypertension? In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9 (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.
Hypertension “with” ICD-10 Coding. 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.
The Guidelines further specify: Hypertension with Heart Disease: Hypertension with heart conditions classified to I50.- or I51.4- I51.9, should be assigned to a code from category I11, Hypertensive heart disease.
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.
I11. 0 - Hypertensive heart disease with heart failure. ICD-10-CM.
Essential (primary) hypertension: I10 In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9 (unspecified). ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease.
Primary pulmonary hypertension — also called heritable PAH, idiopathic PAH, primary group 1 pulmonary hypertension, and primary PAH — is reported using I27....Note New Codes for Pulmonary Hypertension.New CodesDescriptionI27.22Pulmonary hypertension due to left heart disease Group 2 pulmonary hypertension5 more rows•Jan 2, 2018
Once hypertension is established by a physician, a code from category 401 is assigned, with a fourth digit required: 0 for malignant, 1 for benign, and 9 for unspecified. Do not assign a code for benign or malignant hypertension unless it is specifically documented by a physician.
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).
Malignant hypertension is very high blood pressure that comes on suddenly and quickly. The kidneys filter wastes and excrete fluid when the pressure of blood in the bloodstream forces blood through the internal structures of the kidney.
What causes malignant hypertension? Uncontrolled high blood pressure is one of the main causes of malignant hypertension. Other causes include: Adrenal disorders including Conn's syndrome, Cushing's syndrome, pheochromocytoma or a renin-secreting tumor.
In ICD-10, the diagnosis codes are simplified and the hypertension table is no longer necessary.
Group 2: Pulmonary hypertension due to left heart disease: The most common cause of pulmonary hypertension is left heart disease. ICD-10-CM code I27. 22 (pulmonary hypertension due to left heart disease) is reported for this type.
ICD-10 code I27. 0 for Primary pulmonary hypertension is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
I27. 0 - Primary pulmonary hypertension | ICD-10-CM.
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.