Field | Data |
---|---|
404.13 | Benign hypertensive heart and renal disease with heart failure and renal failure |
404.9 | Unspecified hypertensive heart and renal disease without heart failure or renal failure |
A: ICD-10-CM assumes a cause-and-effect relationship between CKD and HTN, as well as CKD and diabetes. CKD is most likely related to both the HTN and the diabetes when all three conditions are present.
Please assist with some guidance re: the appropriateness of querying providers for the subsequent ICD-9 combination code of "HTN heart disease with CHF and CKD" 404-.
Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. I13.0 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 I13.0 became effective on October 1, 2018.
2016 2017 2018 2019 Billable/Specific Code. I13.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Hyp hrt & chr kdny dis w hrt fail and stg 1-4/unsp chr kdny. The 2018/2019 edition of ICD-10-CM I13.0 became effective on October 1, 2018.
0 for Hypertensive heart and chronic kidney disease with heart failure and 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 .
If chronic kidney disease is documented with hypertension, a combination code from I12 — hypertensive chronic kidney disease — should be reported. Documentation needs to identify the stage as 1-5 or end stage renal disease (ESRD) in order to report an additional code from category N18 — chronic kidney disease.
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.
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.
0 Hypertensive heart disease with heart failure and I50. 9 Heart failure, unspecified. Hypertensive Chronic Kidney Disease: Codes from category I12, Hypertensive chronic kidney disease, should be assigned when both hypertension and a condition classifiable to category N18, Chronic kidney disease (CKD), are present.
You update her diagnostic codes to I13. 0 (Hypertensive heart and chronic kidney disease with heart failure and with stage 1 through 4 chronic kidney disease, or unspecified chronic kidney disease), I50. 21 (Systolic, congestive, heart failure, acute), and N18. 3 (Chronic kidney disease, stage 3, moderate).
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-CM code I27. 22 (pulmonary hypertension due to left heart disease) is reported for this type.
ICD-10-CM Code for Hypertensive heart disease without heart failure I11. 9.
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.
When a patient presents with CHF and cardiomyopathy, treatment is typically focused on managing CHF. Therefore, sequence a code from category 428, Heart failure, as the principal diagnosis with code 425.4 added as a secondary diagnosis (AHA Coding Clinic for ICD-9-CM, 1990, second quarter, page 19).
I11. 0 - Hypertensive heart disease with heart failure | ICD-10-CM.
According to the ICD-10 CM Official Coding Guidelines 2017, ""Heart conditions classified to I50.- or I51.4-I51.9 , are assigned to a code from category I11, hypertensive heart disease, when a causal relationship is stated (due to HTN) or implied (hypertensive)". If the a causal relationship is not stated, the HTN and heart failure should be separately coded.
One of the 2017 changes was that a causal relationship is assumed and doesn't need to be specifically stated for hypertension and heart failure (just like hypertension with ckd). The 2017 guidelines state that, "These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated."
Unlike the heart failure and hypertension, a relationship is assumed between CKD and HTN. According to the ICD-10 CM Official Coding Guidelines 2017 "Assume a relationship between the hypertension and the chronic kidney disease, whether or not the condition is so designated"
ICD Code I13 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of I13 that describes the diagnosis 'hypertensive heart and chronic kidney disease' in more detail. I13 Hypertensive heart and chronic kidney disease. NON-BILLABLE.
The ICD code I13 is used to code Hypertension. Hypertension (HTN or HT), also known as high blood pressure, is a long term medical condition in which the blood pressure in the arteries is persistently elevated.
I13. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code I13 is a non-billable code.
Hypertension (HTN or HT), also known as high blood pressure, is a long term medical condition in which the blood pressure in the arteries is persistently elevated. Blood pressure is expressed by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, respectively, in the arterial system.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I13.1. Click on any term below to browse the alphabetical index.
The 2021 edition of ICD-10-CM I13 became effective on October 1, 2020.
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.
Hypertensive heart and chronic kidney disease without heart failure 1 I00-I99#N#2021 ICD-10-CM Range I00-I99#N#Diseases of the circulatory system#N#Type 2 Excludes#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#systemic connective tissue disorders ( M30-M36)#N#transient cerebral ischemic attacks and related syndromes ( G45.-)#N#Diseases of the circulatory system 2 I10-I16#N#2021 ICD-10-CM Range I10-I16#N#Hypertensive diseases#N#Type 1 Excludes#N#neonatal hypertension ( P29.2)#N#primary pulmonary hypertension ( I27.0)#N#Type 2 Excludes#N#hypertensive disease complicating pregnancy, childbirth and the puerperium ( O10 - O11, O13 - O16)#N#Use Additional#N#code to identify:#N#exposure to environmental tobacco smoke ( Z77.22)#N#history of tobacco dependence ( Z87.891)#N#occupational exposure to environmental tobacco smoke ( Z57.31)#N#tobacco dependence ( F17.-)#N#tobacco use ( Z72.0)#N#Hypertensive diseases 3 I13#N#ICD-10-CM Diagnosis Code I13#N#Hypertensive heart and chronic kidney disease#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Includes#N#any condition in I11.- with any condition in I12.-#N#cardiorenal disease#N#cardiovascular renal disease#N#Hypertensive heart and chronic kidney disease
The 2022 edition of ICD-10-CM I13.1 became effective on October 1, 2021.
Hypertensive heart and chronic kidney disease without heart failure. I13.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Hypertensive heart and chronic kidney disease w/o hrt fail.