Epistaxis ICD-9-CM 784.7 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 784.7 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Serious spontaneous epistaxis may also be the presenting sign of underlying true hypertension in 43% of patients with no history of hypertension. However, hypertension per se does not appear to be a significant causal factor and/or factor of severity in serious spontaneous epistaxis [10].
2018/2019 ICD-10-CM Diagnosis Code I15.9. Secondary hypertension, unspecified. 2016 2017 2018 2019 Billable/Specific Code. I15.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A code from category I11 Hypertensive heart disease is assigned when an individual has hypertensive heart disease — HTN with cardiac condition (s), classified to I50.- or I51.4–I51.9.
Operational Definitions of Hypertension and Epistaxis 1, and I10. 9) who used medical services 3 times or more and received antihypertensive medications. Patients with epistaxis were defined as those with the diagnostic code of epistaxis (ICD-10 code R04. 0).
784.7ICD-9 code 784.7 for Epistaxis is a medical classification as listed by WHO under the range -SYMPTOMS (780-789).
ICD-10 code R04. 0 for Epistaxis is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Answer: Yes, there are. Epistaxis control is achieved through a variety of modalities. Anterior epistaxis control has two codes: 30901 (simple, 1.62 relative value units [RVU], Medicare $58.32) and 30903 (complex, 2.25 RVU, Medicare $81). These codes are for unilateral procedures.
R04. 0 - Epistaxis | ICD-10-CM.
9: Fever, unspecified.
Essential (primary) hypertension: I10 That code is I10, Essential (primary) hypertension. As in ICD-9, this code includes “high blood pressure” but does not include elevated blood pressure without a diagnosis of hypertension (that would be ICD-10 code R03. 0).
Local trauma is the most common cause, followed by facial trauma, foreign bodies, nasal or sinus infections, and prolonged inhalation of dry air. Children usually present with epistaxis due to local irritation or recent upper respiratory infection (URI).
Epistaxis is more common in hypertensive patients, perhaps owing to vascular fragility from long-standing disease. Hypertension, however, is rarely a direct cause of epistaxis. More commonly, epistaxis and the associated anxiety cause an acute elevation of blood pressure.
Modifiers XS or 59 tells the insurer that the complex hemorrhage control occurred on a different side (structure) from the simple cautery. If the payer processes and pays with the modifiers for laterality properly, instead of modifier 59, you can use the appropriate LT and RT modifiers (such as 30903-LT and 30901-RT).
30903 (Control nasal hemorrhage, anterior, complex [extensive cautery and/or packing] and method) for the complex repair.
A code from category I11 Hypertensive heart disease is assigned when an individual has hypertensive heart disease — HTN with cardiac condition (s), classified to I50.- or I51.4–I51.9. Since ICD-10-CM presumes a causal relationship between HTN and cardiac involvement, a combination code is used to reflect that they’re related even if there is no provider documentation linking them.
ICD-10-CM classifies HTN by type as essential or primary (categories I10–I13) and secondary (category I15). Report code I10 Essential (primary) hypertension for individuals who meet the criteria for hypertension and do not have any comorbid cardiac or renal disease. This code includes “high blood pressure” but is not meant to be used when elevated blood pressure is noted in an individual that has not been diagnosed with HTN. Report cases of transient HTN with R03.0 Elevated blood-pressure reading, without diagnosis of hypertension.
Specifically, the code set addresses Hypertensive heart disease with category I11, Hypertensive chronic kidney disease with category I12, and Hypertensive heart and chronic kidney disease with category I13 .
But don’t stress; there are a limited number of codes for HTN — only nine codes for primary hypertension and five codes for secondary hypertension.
Coding Hypertensive Heart Disease. Hypertensive heart disease can cause serious health problems and is the No. 1 cause of death associated with HTN. It refers to heart conditions caused by elevated blood pressure.
Hypertension is the medical term for elevated blood pressure — a serious medical condition in which the pressure of the circulating blood against the arterial walls is high enough that it may eventually cause health problems such as heart disease and stroke.
When a patient has heart failure and HTN, code first I11.0 as instructed by the note at category I50 Heart failure. An additional code from category I50 is required to specify the type of heart failure, if known. In cases where the type of heart failure is not identified, report I50.9 Heart failure, unspecified. The codes for systolic, diastolic, and combined heart failure also require a fifth digit to specify the acuity of the diagnosis: