Stenosis of peripheral vascular stent
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.
Renal artery stenosis is narrowing of the one or both of renal arteries. It is the major cause of hypertension and according to some reports is the cause of hypertension in 1% to 10% of the 50 million people in the United States.
Renal hypertension (or renovascular hypertension) is high blood pressure caused by the narrowing of your arteries that carry blood to your kidneys. It is also sometimes called renal artery stenosis. Because your kidneys are not getting enough blood, they react by making a hormone that makes your blood pressure rise.
ICD-10-CM Code for Renovascular hypertension I15. 0.
Renovascular hypertension is high blood pressure due to narrowing of the arteries that carry blood to the kidneys. This condition is also called renal artery stenosis.
However, renal artery stenosis is the primary cause of hypertension (ie, renovascular hypertension) only in certain settings. In most cases of renal artery stenosis, one kidney is affected, with the main vessels to the second kidney being essentially normal, hence the designation, "unilateral" disease.
Procedures to treat renal artery stenosis may include:Renal angioplasty and stenting. In this procedure, doctors widen the narrowed renal artery and place a device (stent) inside your blood vessel that holds the walls of the vessel open and allows for better blood flow.Renal artery bypass surgery.
Renal artery stenosis (RAS) is the narrowing of one or both renal arteries. “Renal” means “kidney” and “stenosis” means “narrowing.” The renal arteries are blood vessels that carry blood to the kidneys from the aorta—the main blood vessel that carries blood from the heart to arteries throughout the body.
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.
In ICD-10, the diagnosis codes are simplified and the hypertension table is no longer necessary. The concept of controlled and uncontrolled are not a part of the coding choice, although good clinical documentation should include the status of the patient and the type of hypertension being treated.
Renovascular hypertension is high blood pressure (greater than 140/80 mmHg) caused by renal artery disease. Normally, the kidneys regulate body fluid and blood pressure, as well as regulate blood chemistry and remove organic waste.
Definition of renovascular : of, relating to, or involving the blood vessels of the kidneys renovascular hypertension.
Suspect a renovascular cause if diastolic hypertension develops abruptly in a patient < 30 or > 50; if new or previously stable hypertension rapidly worsens within 6 months; or if hypertension is initially very severe, associated with worsening renal function, or highly refractory to drug treatment.
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.
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 ...
In the Index, “Hypertension, secondary, due to, renovascular disorders” refers you to code I15.0. A note under I15.0 in the Tabular List tells you to “Code also underlying condition.” The Index entry for “Stenosis, artery, renal” refers you to code I70.1. A “Code also” note means that you can sequence either condition first, depending on the circumstances of the encounter.
Chapter 21 of ICD-10-CM (Factors Influencing Health Status and Contact with Health Services) contains codes beginning with the letter “Z.” Some of the Chapter 21 codes were discussed in previous sections of this Navigator®, including the codes used for personal history of cancer, body mass index, and weeks of gestation. To locate information about a specific type of Z code, see the index at the end of this volume.
The ICD-10-CM guidelines indicate that hypertension and heart failure should be coded as related unless the record clearly states they are not related. The hypertensive heart disease code is listed first, followed by the code for the left ventricular failure.