Field | Data |
---|---|
404.93 | Unspecified hypertensive heart and renal disease with heart failure and renal failure |
405.01 | Malignant renovascular hypertension |
Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 2016 2017 2018 2019 2020 2021 Billable/Specific Code I12.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
2021 ICD-10-CM Diagnosis Code I13.0: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease ICD-10-CM Codes
code to identify the stage of chronic kidney disease ( ICD-10-CM Diagnosis Code N18.1. Chronic kidney disease, stage 1 2016 2017 2018 2019 Billable/Specific Code. N18.1- ICD-10-CM Diagnosis Code N18.4.
secondary hypertension ( I15.-) acute kidney failure ( N17.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
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. For more details, reference the ICD-10-CM codebook.
ICD-10 code I12. 9 for Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
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.
ICD-9 code 585.9 for Chronic kidney disease, unspecified is a medical classification as listed by WHO under the range -NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589).
What is renal hypertension? 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.
I12. 9, Hypertensive chronic kidney disease with stage 1 through 4 chronic kidney disease or unspecified chronic kidney disease.
ICD-10-CM code N18. 2 (CKD stage 2) is used to report this stage.
Essential (primary) hypertension (I10) ICD-10 uses a single code for individuals with HTN who do not have additional disorders like heart or kidney disease. Code I10 includes high blood pressure, but it does not include elevated blood pressure reading without a diagnosis of HTN.
401.9 - Unspecified essential hypertension | ICD-10-CM.
The ICD-10-CM code for Chronic Kidney Disease (CKD) Stage 3 (N18. 3) has been revised for Fiscal Year 2021.
Acute kidney failure, unspecified N17. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N17. 9 became effective on October 1, 2021.
Table 1ICD-9-CM diagnosis codeDiagnosisDescriptionHeart failure428.40 Unspecified428.41 Acute428.42 Chronic42 more rows•Mar 29, 2017
If you read the coding guidelines in the front of the ICD-9 book for the chapter regarding HTN , you will find that the correct answer is #2 HTN and renal disease.
Coding guidelines state "unlike hypertension with heart disease, ICD9-CM presumes a cause-and-effect relationship and classifies chronic kidney disease (CKD) with hypertension as hypertensive chronic kidney disease." That's straight out of the ICD-9-CM coding guidelines... Out of curiosity, is this on a test for HCC auditing?
CKD is defined by the National Kidney Foundation as either kidney damage or a glomerular filtration rate (GFR) less than 60 mL/min/1.73 m2 for three months or more. Kidney damage is defined by pathological abnormalities or markers of kidney damage, including abnormalities in the composition of the blood or urine or abnormalities in imaging tests. CKD must be documented by the provider in order to be coded; coders should not assign CKD codes based on GFR alone.
Early symptoms of CKD can be vague, such as malaise and fatigue or nausea and vomiting. Other signs and symptoms include:
GFR is the best measure of the kidneys’ functioning level. It is calculated based on blood creatinine level, age, race, gender, and other contributing factors.
Chronic kidney disease (CKD) affects 20 million Americans, or one in every nine adults, and another 20 million Americans are at risk of developing CKD, according to the National Kidney Foundation. With this prevalence, it is important for coding professionals to understand what CKD is, its underlying causes and risk factors, and treatment options for proper code assignment.
If CKD is severe enough to warrant dialysis, then complications can arise from the required vascular access, such as a clot or infection.
In addition to lab tests, radiological images such as MRIs, CT scans, ultrasounds, or contrast x-rays may be performed to visualize kidney damage. A renal biopsy may also be performed to determine the type and extent of kidney damage.
One is by damaging the blood vessels inside the kidneys; the other is through nerve damage. If the blood vessels in the kidney are damaged, they cannot properly filter all the waste products out of the blood appropriately. If diabetes damages the nerves of the bladder this may lead to increased pressure in the bladder due to incomplete emptying. The increased pressure in the bladder can back up and result in injury to the kidneys.