You may have a condition known as labile hypertension, which refers to blood pressure that fluctuates far more than usual. Everyone's blood pressure rises and falls many times during the course of a single day, sometimes even within minutes.
Blood pressure in some elderly hypertensive patients is characterized by marked lability. This affects quality of life and may deteriorate prognosis. Conventional anti-hypertensive medication does not lead to stabilization of blood pressure. We call this form of hypertension "labile hypertension of the elderly" (LHE).
Resistant hypertension has been designated as 997.91 in the ICD‐9 codes. Unfortunately, there is no designation for “resistant hypertension” in the ICD‐10 despite the increasing recognition of resistant hypertension as a major clinical entity, which, by definition, should indicate a more complex level of service.
ICD-10 Code for Emotional lability- R45. 86- Codify by AAPC.
Your doctor will pursue a labile hypertension diagnosis by giving you a 24-hour ambulatory blood pressure monitor. If the results show unusual spikes in blood pressure, your doctor will search for the underlying cause.
There is currently no treatment specifically for labile hypertension. Medical professionals may instead focus on helping a person reduce situation-specific anxiety and stress. They may prescribe short-term anti-anxiety medication for people to use only when they are experiencing symptoms of anxiety.
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.
Uncontrolled hypertension is not synonymous with resistant hypertension. The former includes patients who lack blood pressure control secondary to poor adherence and/or an inadequate treatment regimen, as well as those with true treatment resistance.
F39 Unspecified mood [affective] disorder.
Code F43. 23 is the diagnosis code used for Adjustment Disorder (AD) with Mixed Anxiety and Depressed Mood. It is sometimes known as situational depression. It occurs when an individual is unable to adjust to or cope with a particular stress or a major life event.
R45. 89 - Other symptoms and signs involving emotional state. ICD-10-CM.
Labile hypertension usually doesn't cause serious problems right away. Blood pressure typically returns to normal levels within a short period of time after the stressful incident. Researchers now believe that untreated labile hypertension can cause problems later on.
Despite this, labile BP elevation is a commonplace clinical dilemma. It is normal for BP to fluctuate from moment to moment and from day to day. BP fluctuation is related to many factors such as physical activity, emotion, position, respiratory cycle, diet, salt intake, alcohol ingestion, sleep deprivation, and others.
The underlying causes of baroreflex failure included the familial paraganglioma syndrome, neck surgery or radiation therapy for pharyngeal carcinoma, bilateral lesions of the nucleus tractus solitarii, and surgical section of the glossopharyngeal nerves; in two patients the cause was unknown.
The National Academy of Sciences recommends drinking when thirsty rather than consuming a specific number of glasses daily. It is unlikely that drinking water raises blood pressure. A healthy body regulates fluids and electrolytes quickly.