How Do You Code Uncontrolled Hypertension?

1. I10 Hypertension (benign, essential, primary)
2. I11 Hypertensive heart disease.
3. I12 Hypertension and chronic kidney disease.
4. I13 Hypertensive heart and chronic kidney disease.

What is the diagnosis code for uncontrolled hypertension?

uncontrolled hypertension. Code

I10

for HTN is assigned when HTN is described as essential, benign or malignant as well as when HTN is not otherwise specified (NOS). hypertensive heart disease: I11.

How do you code controlled hypertension?

In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9 (unspecified). 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.

Is hypertension always coded?

The term high blood pressure is frequently used in the healthcare field synonymously with hypertension; however, as coders we

are not allowed to code high

blood pressure as hypertension unless the physician documents it.

What is the ICD-10 code for hypertension?

ICD-10 Code:

I10

– Essential (Primary) Hypertension

ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension. Its corresponding ICD-9 code is 401.

What is uncontrolled hypertension?

§ Uncontrolled hypertension is defined as

an average systolic blood pressure ≥140 mmHg or an average diastolic blood pressure ≥90 mmHg

, among those with hypertension.

What can uncontrolled hypertension lead to?

Left undetected (or uncontrolled), high blood pressure can lead to:

Heart attack

— High blood pressure damages arteries that can become blocked and prevent blood flow to the heart muscle. Stroke — High blood pressure can cause blood vessels in the brain to clog more easily or even burst.

How do you code congestive heart failure and 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. Since the heart disease falls within the code range of I50. – or I51.

Can I code hypertension and hypertensive urgency together?

Which condition has a causal relationship with hypertension?

If hypertension,

heart failure and chronic kidney disease

are all documented, use a combination code from category I13 — hypertensive heart and chronic kidney disease. These are just a few examples of conditions that have an assumed causal relationship in ICD-10-CM.

How do you control resistant hypertension?

1. Limiting salt and alcohol.
2. Limiting use of NSAIDs for pain relief (acetaminophen can be used instead).
3. Doing at least 30 minutes a day of aerobic activity several days a week.
4. Treating sleep apnea with continuous positive airway pressure.

How do you document hypertension?

Although various sources define hypertension slightly differently, you can support your diagnosis by documenting

elevated systolic pressure above 140 or diastolic pressure above 90 with at least two readings on separate office visits

.

What is Postprocedural hypertension?

Postoperative hypertension (arbitrarily defined as

systolic BP ≥190 mm Hg and/or diastolic BP 100 mm Hg on 2 consecutive readings following surgery

) (

^{Plets 1989 ; Chobanian et al 2003b}

) may have significant adverse sequelae in both cardiac and noncardiac patients.

What is meant by essential hypertension?

Essential, primary, or idiopathic hypertension is defined as

high BP in which secondary causes such as renovascular disease, renal failure, pheochromocytoma, aldosteronism

, or other causes of secondary hypertension or mendelian forms (monogenic) are not present.

How can hypertension be diagnosed?

1. Ambulatory monitoring. This 24-hour blood pressure monitoring test is used to confirm if you have high blood pressure. …
2. Lab tests. Your doctor may recommend a urine test (urinalysis) and blood tests, including a cholesterol test.
3. Electrocardiogram (ECG or EKG). …
4. Echocardiogram.

What is the CPT code for blood pressure check?

Since there is no separate CPT code for a blood-pressure check, CPT anticipates that such checks will be coded as a

99211

as long as the blood-pressure check is otherwise medically necessary, involves some evaluation and management of the patient and is not done as part of another E/M or other service.