ICD-10-CM Code I10. I10 is a valid billable ICD-10 diagnosis code for Essential (primary) hypertension. It is found in the 2019 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2018 - Sep 30, 2019.
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States. It provides a level of detail that is necessary for diagnostic specificity and morbidity classification in the U.S.
Why ICD-10 codes are important
What is ICD-10-CM, ICD-10-PCS, CPT, and HCPCS?
Hypertension, whether uncontrolled, untreated or not responding to current medication, is assigned code I10. Coding Corner: Hypertension in ICD-10 I10 Hypertension (benign, essential, primary) I11 Hypertensive heart disease. I12 Hypertension and chronic kidney disease. I13 Hypertensive heart and chronic kidney disease.
§ Uncontrolled hypertension is defined as an average systolic blood pressure ≥140 mmHg or an average diastolic blood pressure ≥90 mmHg, among those with hypertension.
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.
ICD-10-CM Coding for Hypertension Hypertension described as benign, malignant, controlled, uncontrolled, and primary would be coded here unless it belongs in another category code. A condition of elevated blood pressure without a diagnosis of hypertension is classified to code R03.
There are now codes to describe hypertensive crisis in ICD-10-CM category I16, Hypertensive Crisis. Coders are now able to differentiate coding of hypertensive urgency (I16. 0), hypertensive emergency (I16. 1), and hypertensive crisis, unspecified (I16.
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.
ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.
Generalized anxiety is one of the causes of white-coat hypertension. Systolic hypertension – Refers to the elevated systolic blood pressure. Gestational hypertension – High blood pressure in pregnancy. Hypertensive crisis- A severe increase in blood pressure that can lead to stroke. Hypertensive urgencies.
Hypertension: Hypertension is a very common chronic problem that many patients especially the elderly ones suffer from. Accurate documentation regarding the cause/type of hypertension is the key to accurate coding of the diagnoses related to hypertension.
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.
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.
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.
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.
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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.
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.