select the appropriate icd-10-cm code for benign hypertension

by Germaine Schowalter 7 min read

The ICD-10 medical coding for hypertension is relatively simpler compared to other complexities. Primary Hypertension In ICD-9, primary or essential hypertension is coded according to the severity of hypertension, malignant (401.0), benign (401.1) or unspecified (401.9).

401.1 - Benign essential hypertension. 401.9 - Unspecified essential hypertension.

Full Answer

Is i10 a valid ICD 10 code?

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?

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?

What is the ICD 10 diagnosis code for?

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.

What is the ICD 10 code for chronic hypertension?

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).

What are the ICD-10 codes for hypertension?

Essential (primary) hypertension: I10.Hypertension and hypertensive heart disease: I11.Hypertension and chronic kidney disease: I12.Hypertension, hypertensive heart disease, and chronic kidney disease: I13.Tobacco use or exposure in individuals with hypertensive diseases.Coding for secondary hypertension: I15.More items...

What is benign hypertension?

Definition. A condition of mild to moderate high blood pressure that has no identifiable cause. [ from NCI]

What is the ICD-10 code for benign?

Benign neoplasm, unspecified site D36. 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 D36. 9 became effective on October 1, 2021.

How are codes assigned for both benign and malignant hypertension in ICD-10?

Once hypertension is established by a physician, a code from category 401 is assigned, with a fourth digit required: 0 for malignant, 1 for benign, and 9 for unspecified. Do not assign a code for benign or malignant hypertension unless it is specifically documented by a physician.

What is malignant hypertension vs benign?

Malignant hypertension is a complication of hypertension characterized by very elevated blood pressure, and organ damage in the eyes, brain, heart and/or kidneys. Benign hypertension is a condition of mild to moderate hypertension.

What is benign hypertensive heart disease?

What is hypertensive heart disease? 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).

What is the ICD-10 code for benign skin lesion?

D23. 9 - Other benign neoplasm of skin, unspecified. ICD-10-CM.

What is the ICD-10 code for benign prostatic hypertrophy?

1 – Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms. ICD-Code N40. 1 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms. Its corresponding ICD-9 code is 600.01.

What is the ICD-10 code for benign neoplasm of the bursa of the shoulder?

ICD-10 Code for Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder- D21. 10- Codify by AAPC.

Is there a hypertension table in ICD-10?

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.

How do you code CAD and hypertension?

Code the scenario in ICD-10:Primary and Secondary Diagnoses.M1025.Additional.diagnoses.M1021: Atherosclerotic heart disease of native.M1023: Essential (primary) hypertension.

When do you code I11 9?

Hypertensive heart disease without heart failure 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.

What is the I10 code for hypertension?

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).

What is considered hypertensive blood pressure?

A patient may be considered hypertensive if either of the systolic or diastolic pressure is elevated while the other is normal or both are elevated. 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 ...

What is the measurement of blood pressure when the heart contracts?

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).

What are the factors that contribute to high blood 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.

Is hypertension a causal relationship?

According to the ICD-10-CM Official Coding Guidelines Section 1;C.9.a, a causal relationship is presumed between hypertension and heart involvement as well as hypertension and kidney involvement, even when the provider has not specifically linked the two conditions together in the documentation (unless they are specifically noted as “unrelated”).

What is the code for heart disease and chronic kidney disease?

Hypertensive Heart and Chronic Kidney Disease: The codes in category I13, Hypertensive heart and chronic kidney disease, are combination codes that include hypertension, heart disease and chronic kidney disease, and should be used when there is hypertension with both heart and kidney involvement.

Can CKD be coded as hypertensive?

CKD should not be coded as hypertensive if the physician has specifically documented a different cause. The appropriate code from category N18 should be used as a secondary code with a code from category I12 to identify the stage of chronic kidney disease.