Hypertension with Heart Disease: Hypertension with heart conditions classified to I50.- or I51.4- I51.9, should be assigned to a code from category I11, Hypertensive heart disease.
Hypertension “with” ICD-10 Coding. 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.
Essential hypertension affecting vessels supplying the eye with blood on the other hand will be represented by the ICD-10 codes H35.0 Hypertensive heart diseases with heart failure will be represented by the ICD-10 code I11.0; this will also be applicable for hypertensive heart failure.
Hypertensive emergency. I16.1 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 I16.1 became effective on October 1, 2020. This is the American ICD-10-CM version of I16.1 - other international versions of ICD-10 I16.1 may differ.
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.
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).
401.1 - Benign essential hypertension.
R03. 0: Elevated blood-pressure reading, without diagnosis of hypertension.
The two new codes—99473 and 99474—support home blood-pressure monitoring, which provides useful information physicians can use to better diagnose and manage hypertension.
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.
It's also known as idiopathic or essential hypertension. Above-normal blood pressure is typically anything over 120/80 mmHg. This means that the pressure inside your arteries is higher than it should be.
The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. The ICD-10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO).
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.
The 2022 edition of ICD-10-CM R03. 0 became effective on October 1, 2021. This is the American ICD-10-CM version of R03.
Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140 over 90 mmhg.
The 2022 edition of ICD-10-CM I10 became effective on October 1, 2021.
High blood pressure usually has no symptoms. It can harm the arteries and cause an increase in the risk of stroke, heart attack, kidney failure, and blindness. A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm hg.
ICD Code 110 is a billable ICD-10-CM code that will be used to specify a diagnosis in relation to essential (primary) hypertension. ICD-10 codes 010, 011 and 013-016 in this case will be used to specify any hypertension complication affecting childbirth pregnancy and puerperium. Essential hypertension affecting vessels supplying the brain with blood will be represented by ICD-10 codes 160-169. Essential hypertension affecting vessels supplying the eye with blood on the other hand will be represented by the ICD-10 codes H35.0
There are two main types of hypertension, primary hypertension which has been known to grow gradually with time. The other one is known as secondary hypertension. Both types of hypertension are known to considerably hurt the arteries acting as a major cause for strokes, heart attacks, kidney failure and blindness.
ICD Code I12.0 in ICD-10 codes will be used to indicate hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage for renal disease. I12.9 on its part will represent Hypertensive chronic kidney disease with stage 1 through to stage 4.
The center for disease Control and prevention puts the number of Americans who suffer from hypertension at 67 million translating to 31% of all adults. It is estimated that more women than men suffer from Hypertensive condition with a high prevalence in people above the ages of 65.
ICD-10-CM officially replaces ICD-9-CM on October 1 2014, therefore, Medical Billers or Medical coders can use 2014 ICD-10-CM Diagnosis Codes for only training or planning purposes until then.
One is considered to suffer from hypertension if his systolic pressure stands at more than 140mmHG while the diastolic pressure clocks a high of 90mmHg and more. Hypertension causes the heart to work harder to pump blood to the entire body which most of the time result in left sided heart failure.
Controlled hypertension was defined as an average systolic blood pressure of less than 140 mm Hg and an average diastolic blood pressure of less than 90 mm Hg over two readings in people with hypertension, which is consistent with the definition in both the eighth Joint National Committee guideline.
When an individual has hypertension and heart disease, it is up to the provider to determine whether there is a causal relationship stated or implied. This relationship determination is spelled out in the Official Guidelines for Coding and Reporting . 1
Unlike hypertension and heart disease, where the provider must determine whether a causal relationship exists, if the patient has hypertension and develops chronic kidney disease, ICD-10 presumes a cause and effect relationship and classifies the condition as hypertensive chronic kidney disease.
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Q: If a physician orders a consultation for a patient who is experiencing a headache due to hypertension, which ICD-10-CM codes would be assigned? Would hypertension be coded since headache is a common sign and symptom of hypertension, or would both the headache and hypertension be coded?
Patient is discharged with final diagnosis of exacerbated CHF, and a secondary diagnosis of hypertension. 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.
ICD-9-CM code 796.2 is assigned for elevated blood pressure without a diagnosis of hypertension and for transient or borderline hypertension. 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.
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).
If the patient is pregnant, use the appropriate pregnancy codes (O13.- or O14.-) instead of code R03.0.
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 (mmHg) and documented as systolic over diastolic (e.g., 120/80 mmHg). Both systolic and diastolic pressures can indicate hypertension independently or together. The following table identifies five types of systolic and diastolic blood pressure readings and what they indicate.
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).
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.
The COVID-19 public health emergency (PHE) has made it interesting and challenging for organizations to keep an eye on the evolving changes to the ICD-10-CM Official Guidelines for Coding and Reporting. Have you been keeping up with these changes?
The guidelines also state that “For hypertension and conditions not specifically linked by relational terms such as “with,” “associated with” or “due to” in the classification, provider documentation must link the conditions in order to code them as related.”
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. If heart failure is present, an additional code ...
When assigning diagnosis codes for hypertension (HTN), there is an presumed causal relationship between hypertension and heart involvement, and between hypertension and kidney involvement. The ICD-10-CM Official Guidelines for Coding and Reporting (I.C.9) instruct, “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.” The Guidelines further specify:
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.