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.

Can you code hypertension and coronary artery disease?

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.

What is the code for high blood pressure?

Elevated blood-pressure reading, without diagnosis of hypertension.

R03. 0

is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Can you code hypertension and hypertensive urgency together?

ICD-10-CM coding for hypertension

Hypertensive crisis

can involve hypertensive urgency or emergency. Hypertension can occur with heart disease, chronic kidney disease (CKD) or both.

Can hypertension and hypotension be coded together?

ANSWER:

Code

458.0 (orthostatic

hypotension

, chronic or postural) reports

low blood pressure

. It seems difficult to believe that one person

could

have both

high blood pressure and low blood pressure

at the same time. Therefore, you need to query the physician and obtain more details.

What range is hypotension?

Low blood pressure (hypotension) occurs when blood pressure drops below the normal range. Doctors generally define low blood pressure as

90/60 mm Hg or below

, commonly said as “90 over 60” Usually, doctors only treat hypotension if it is severe enough to cause symptoms.

Why do I have hypotension and hypertension?

Postural hypotension occurs most frequently in people who are

taking drugs to control high blood pressure

(hypertension). It can also be related to pregnancy, strong emotions, hardening of the arteries (atherosclerosis), or diabetes.

Which condition has a causal relationship with hypertension?

The disease classification system ICD-10-CM 2017 assumes a causal relationship between hypertension and

heart involvement

. The two diseases are linked by the term “with” in the alphabetical index. It is no longer required for correct coding that the provider documentation explicitly link the two conditions.

What are the symptoms of hypertensive heart disease?

• chest pain (angina)
• tightness or pressure in the chest.
• shortness of breath.
• fatigue.
• pain in the neck, back, arms, or shoulders.
• persistent cough.
• loss of appetite.
• leg or ankle swelling.

What is the underlying cause of coronary artery disease?

Coronary artery disease is caused by

plaque buildup in the wall of the arteries

that supply blood to the heart (called coronary arteries). Plaque is made up of cholesterol deposits. Plaque buildup causes the inside of the arteries to narrow over time. This process is called atherosclerosis.

Is hypertension a circulatory disease?

Many circulatory system diseases are linked to each other. For example, high blood

pressure damages the blood vessels

, which can lead to other circulatory problems. The narrowing of blood vessels caused by high cholesterol increases the likelihood of a person getting a blood clot.

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 hypertension resistant?

Resistant hypertension is

high blood pressure that does not respond well to aggressive medical treatment

. Hypertension is considered resistant when all of the following are true: Someone is taking three* different blood pressure medications at their maximally tolerated doses.

What causes accelerated hypertension?

What causes accelerated hypertension? Accelerated hypertension is caused by

a rapid progression of existing hypertension

. Hypertension itself is influenced by factors such as genetics, lifestyle, and drug use.

How do you code 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. 0 (with heart failure) and I11.

What is the difference between hypertension emergency and urgency?

Hypertensive emergencies are characterized by evidence of

impending or progressive target organ dysfunction

, whereas hypertensive urgencies are those situations without progressive target organ dysfunction.