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.
how do you code uncontrolled hypertension? Hypertension, whether uncontrolled, untreated or not responding to current medication, is assigned code I10. An instructional note provided for categories I10-I15 states to use an additional code to identify exposure to environmental tobacco smoke (Z77. You may ask, What are ICD 10 codes used for?
Instead, use the following codes:
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.
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.
Resistant hypertension has been designated as 997.91 in the ICD‐9 codes. Unfortunately, there is no designation for “resistant hypertension” in the ICD‐10 despite the increasing recognition of resistant hypertension as a major clinical entity, which, by definition, should indicate a more complex level of service.
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.
Treatment resistant hypertension (TRH) is defined by office blood pressure (BP) uncontrolled on ≥3 or controlled on ≥4 antihypertensive medications, preferably at optimal doses and including a diuretic. Apparent (a)TRH is used when optimal therapy, adherence, and measurement artifacts are unknown.
Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140 over 90 mmhg.
The 2022 edition of ICD-10-CM I10 became effective on October 1, 2021.
High blood pressure usually has no symptoms. It can harm the arteries and cause an increase in the risk of stroke, heart attack, kidney failure, and blindness. A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm hg.
Hypertension, transient– The code used is R03.0 ( Elevated blood pressure reading without diagnosis of hypertension). In case of transient hypertension in pregnancy, the codes used are from categories O13 and O14.
Hypertension, Uncontrolled – It denotes to untreated hypertension/hypertension not responding to present therapeutic regimen. Appropriate code from categories I10-I15 is assigned.
Systolic hypertension – Refers to the elevated systolic blood pressure. Gestational hypertension – High blood pressure in pregnancy. Hypertensive crisis- A severe increase in blood pressure that can lead to stroke. Hypertensive urgencies. Hypertensive emergencies.
Pulmonary Hypertension – Coded using category I27. While coding secondary pulmonary hypertension any associated conditions or adverse effect of drugs or toxins is also coded.
Hypertensive cerebrovascular disease- Applicable code from I60-I69 is assigned first, trailed by the appropriate hypertension code.
Secondary hypertension – Accounts for 5% of people with hypertension. Caused due to an underlying disease such as renal disorders such as chronic pyelonephritis, diabetic nephropathy etc.. and Vascular disorders such as coarctation of the aorta.
White-coat hypertension – High blood pressure that occurs at the doctor’s office or in a medical setting, but not otherwise is called White-coat hypertension. Generalized anxiety is one of the causes of white-coat hypertension.
ICD Code 110 is a billable ICD-10-CM code that will be used to specify a diagnosis in relation to essential (primary) hypertension. ICD-10 codes 010, 011 and 013-016 in this case will be used to specify any hypertension complication affecting childbirth pregnancy and puerperium. Essential hypertension affecting vessels supplying the brain with blood will be represented by ICD-10 codes 160-169. Essential hypertension affecting vessels supplying the eye with blood on the other hand will be represented by the ICD-10 codes H35.0
There are two main types of hypertension, primary hypertension which has been known to grow gradually with time. The other one is known as secondary hypertension. Both types of hypertension are known to considerably hurt the arteries acting as a major cause for strokes, heart attacks, kidney failure and blindness.
ICD Code I12.0 in ICD-10 codes will be used to indicate hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage for renal disease. I12.9 on its part will represent Hypertensive chronic kidney disease with stage 1 through to stage 4.
The center for disease Control and prevention puts the number of Americans who suffer from hypertension at 67 million translating to 31% of all adults. It is estimated that more women than men suffer from Hypertensive condition with a high prevalence in people above the ages of 65.
ICD-10-CM officially replaces ICD-9-CM on October 1 2014, therefore, Medical Billers or Medical coders can use 2014 ICD-10-CM Diagnosis Codes for only training or planning purposes until then.
One is considered to suffer from hypertension if his systolic pressure stands at more than 140mmHG while the diastolic pressure clocks a high of 90mmHg and more. Hypertension causes the heart to work harder to pump blood to the entire body which most of the time result in left sided heart failure.
Essential hypertension, also known as arterial, benign, idiopathic, primary, or malignant hypertension, has no known or identified cause and is reported with code I10 as long as there are no associated and/or related causal relationships (e.g, heart disease).
If the patient is pregnant, use the appropriate pregnancy codes (O13.- or O14.-) instead of code R03.0.
Blood pressure is measured using a sphygmomanometer (blood pressure cuff with an attached gauge) and a stethoscope. Blood pressure is measured in millimeters of mercury (mmHg) and documented as systolic over diastolic (e.g., 120/80 mmHg). Both systolic and diastolic pressures can indicate hypertension independently or together. The following table identifies five types of systolic and diastolic blood pressure readings and what they indicate.
Hypertension Definitions . Blood pressure is the measurement of blood pressing on the blood vessel walls when the heart contracts, pushing blood through the arteries (systolic pressure) and when the heart is at rest between heart contractions when it is refilling with oxygenated blood (diastolic pressure).
There are many factors that can contribute to or cause high blood pressure and hypertension (e.g., tobacco use or exposure, obesity, stress, pregnancy) and several ICD-10-CM code categories to report them. Documentation is important for code selection in identifying these additional factors.
The COVID-19 public health emergency (PHE) has made it interesting and challenging for organizations to keep an eye on the evolving changes to the ICD-10-CM Official Guidelines for Coding and Reporting. Have you been keeping up with these changes?
The guidelines also state that “For hypertension and conditions not specifically linked by relational terms such as “with,” “associated with” or “due to” in the classification, provider documentation must link the conditions in order to code them as related.”
pulmonary hypertension: use code from I27.-. sequence according to reason for the encounter, except for adverse effects of drugs (See Section I.C.19.e.) Code first applicable code from categories I60-I69, then report applicable hypertension code.
When high blood pressure occurs without a known cause or in relation to another medical condition (e.g., chronic kidney disease) it is known as essential or primary hypertension. Sometimes there are no symptoms. Over time, the long-term force of blood against artery and vessel walls can cause a variety of health problems. ...