All ICD-9 Codes considered | Description of code | Elixhauser |
---|---|---|
402.01 | Malignant hypertensive heart disease w/CHF | |
402.11 | Benign hypertensive heart disease w/chf | X |
402.91 | Unspecified hypertensive heart disease w/chf | X |
404.01 | Hypertensive heart and renal disease, with congestive heart failure, malignant |
Gastro-esophageal reflux disease without esophagitis. K21.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K21.9 became effective on October 1, 2020.
ICD-10-CM assumes a causal relationship and this is coded as hypertensive heart disease with CHF and an additional code for the specific type of heart failure. In this case, the PDX of hypertensive heart disease with CHF (I11.0) is reported as the PDX followed by the code for the heart failure (I50.9) Under the Category I50 in the ICD-10-CM ...
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.
Heart failure is assumed to be due to hypertension when coded using I11. 0, “Hypertensive heart disease with heart failure.” In ICD-10, the word “with” presumes a causal relationship between the two conditions linked by this term.
(2011), CHF was defined as: one or more hospitalizations with diagnosis code ICD-9-CM: 428 or ICD-10-CA: I50.
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.
Hypertensive heart disease without heart failure I11. 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 I11. 9 became effective on October 1, 2021.
Congestive heart failure (CHF) is a type of heart failure which requires seeking timely medical attention, although sometimes the two terms are used interchangeably. As blood flow out of the heart slows, blood returning to the heart through the veins backs up, causing congestion in the body's tissues.
9 – Heart Failure, Unspecified. Code I50. 9 is the diagnosis code used for Heart Failure, 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.
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.
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 CodesDescriptionI27.29Other secondary pulmonary hypertension Group 5 pulmonary hypertension5 more rows•Jan 2, 2018
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).
Hypertension with certain heart conditions are assigned to a code from category 402, Hypertensive heart disease, when a causal relationship is stated or implied. Use only the code from category 402 to identify both the hypertension and the heart condition, with the exception of heart failure.
ICD-10 Code for Diastolic (congestive) heart failure- I50. 3- Codify by AAPC.
Congestive Heart Failure is a chronic complex clinical syndrome which prevents filling or emptying of blood from the heart. CHF is caused by either a structural (valvular or congenital) and/or a dysfunctional (myocardial infarction) anomaly. The most frequently observed clinical manifestations include shortness of breath, edema and weight gain. Of those that are diagnosed about half of the patients will die within five years from their initial date of diagnosis.
From a wellness standpoint, patients with CHF should be re-evaluated every 30 to 90 days. At every visit, the patient should be:
In ICD-10, hypertension is defined as essential (primary). The concept of “benign or malignant” as it relates to hypertension no longer exists.
The diagnosis of CHF is progressive, which requires chronic disease management. The stages of disease progression are as follows:
402.01 is a legacy non-billable code used to specify a medical diagnosis of malignant hypertensive heart disease with heart failure. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 402.01 in the Index of Diseases and Injuries:
Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided heart failure
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.