When high blood pressure occurs without a known cause or in relation to another medical condition (e.g., chronic kidney disease) it is known as essential or primary hypertension. Sometimes there are no symptoms. Over time, the long-term force of blood against artery and vessel walls can cause a variety of health problems. In ICD-10-CM, hypertension code options do not distinguish between malignant and benign or between controlled and uncontrolled as they did in ICD-9-CM. What is important for code selection is knowing if the hypertension is caused by or related to another condition. The following helpful table shows some of these options.
I10 if there are no associated causal relationships (e.g., heart disease)
w/ cardiorenal disease
I13.-: this combination code includes hypertension, heart disease, and CKD.
If there is heart failure, use additional code from category I50.-
Do not use with codes from categories I11.- and I12.-.
Note: If there is acute renal failure, add that code.
w/ chronic kidney disease
Patient has CKD classifiable with N18.-
I12.-: this combination code includes hypertension and CKD
N18.- is sequenced first, followed by I12.-
if there is also kidney involvement, see cardiorenal.
Note: If there is acute renal failure, add that code
w/ eye involvement
Report a code from subcategory H35.0- and a code from I10-I15. Sequence according to the reason for the encounter.
w/ heart disease
Patient has heart condition classified with I50.- or I51.4-I51.9
hypertension is related: use code from category I11.-
hypertension is unrelated: sequence according to reason for the encounter
Note: If there is also kidney involvement, use cardiorenal codes instead.
w/ kidney involvement
Hypertensive renal disease NOS or CKD stages 1-4 use code I12.9. Otherwise,see cardiorenal disease codes.
Note: If there is also heart involvement, use cardiorenal codes instead.
pre-existing: see O10.- and O11.-
pregnancy-induced: see O13.-, O14.-, O16.-
w/ pulmonary involvement
pulmonary hypertension: use code from I27.-
secondary pulmonary hypertension (I27.1, I27.2-), code also any associated conditions or adverse effects of drugs or toxins
sequence according to reason for the encounter, except for adverse effects of drugs (See Section I.C.19.e.)
Code first applicable code from categories I60-I69, then report applicable hypertension code.
Blood pressure is 180/120 or greater. Use code from I16.-
Code also any identified hypertensive disease (I10-I15)
Sequence according to reason for the encounter.
Secondary: Hypertension is due to underlying condition not otherwise classified. Two codes are required: one to identify the underlying etiology and one from category I15- to identify the hypertension. Sequence according to reason for the encounter.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
Every healthcare office needs to know and understand the rules that apply to billing services and supplies. What lessons can we learn from the mistakes of others? What if we have made the same mistake?
Discussion between innoviHealth CEO, LaMont Leavitt and Guest speaker, Christine Taxin who is an Adjunct professor at New York University, and President of Dental Medical Billing and Links2Success about making sure you have all the right Dental resources needed to succeed in Dental Medical Billing and Coding.
The COVID-19 public health emergency (PHE) has created some possible problems when it comes to risk adjustment. Be sure your organization has implemented policies and procedures to try and overcome these new hurdles.
My colleagues and I are nerds for information on all things billable—or not billable—in the worlds of dental and medical insurance. One of the most puzzling challenges for me over the past 15 years of teaching has been to understand why we on the dental side are segregated out of ...
Real time scanning of the kidneys
Common iliac artery origins
Inferior vena cava
Alternaltively, if ultrasonography is being performed to evaluate the urinary tract, examination of the kidneys and urinary bladder constitutes a complete exam. Code 76775 is used when a limited retroperitoneal ultrasound examination is performed.
In 2021, a big change in Risk Adjustment score calculations will take place, which will affect payments to Medicare Advantage (MA) plans for the coming year and take us closer to quality and value-based programs instead of fee-for-service (FFS) or risk-adjusted (RA). Currently, CMS pays a per-enrollee capitated...