Hypertensive heart disease with congestive heart failure icd 10 quizlet

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Terms in this set (13)

Hypertension

I10 - Essential (primary) htn
Includes: high b/p

HTN with Heart Disease

Heart conditions (i50.- or I51.4-I51.9) are assigned a code from I11-Hypertensive heart disease when a causal relationship is stated as due to hen or implied as hypertensive.
--Use add'l code from I50 to identify the type of heart failure
--If the causal relationship btw hen and heart disease is not documented, each condition is coded separately

HTN with CKD

Code from I12-Hypertensive chronic kidney disease when conditions classified to N18-CKD are present. Unlike HTN with heart disease, ICD-10-CM presumes a cause and effect relationship and classifies renal failure with HTN as Hypertensive Renal Disease.
--Code from N18-CKD should be reported to identify the stage of the CKD, as a secondary dx
--Hypertensive CKD AND acute renal failure - use add'l code for the ARF.

Hypertensive Heart and CKD

Combination codes I13-Hypertensive heart and CKD
--Assume a relationship btw the HTN and CKD.
--Assign add'l code from I50 for type of heart failure
--Code from N18 is used to identify the stage of CKD
--Hypertensive CKD and ARF, use add'l code for ARF.

Hypertensive Cerebrovascular Disease

I60-I69 - Cerebrovascular Disease
+ code for the hypertension

Hypertensive Retinopathy

Increased pressure leads to growth of unstable vessels of the eye. These vessels can fracture and bleed, causing complications to vision and eye circulation.
Two codes are necessary:
--H35.0 - Background retinopathy and retinal vascular changes
--I10-I15 - indicate the type of HTN.

HTN, secondary

Endocrine disorders, CNS disorders, Vascular problems, medications can all cause HTN.
Requires two codes:
--underlying etiology
--I15 for secondary HTN
Reason for the encounter determines sequencing

HTN, transient

R03.0 - Elevated B/P reading w/o diagnosis of HTN
O13.- or O14.- for transient HTN of pregnancy

Coronary Artery Disease

a blockage of the coronary arteries
Most common type is atherosclerosis
--I25 - Chronic ischemic heart disease
--Add'l code for exposure to or use of tobacco
--Add'l code to report the areas of atherosclerosis

CABG

code is selected based on type of graft.
Autologous, biological - graft taken from patient
Non-autologous biological

Atherosclerotic heart disease with angina

a causal relationship can be assumed, unless documentation indicates the angina is due to something other than the atherosclerosis.
These are combo codes.

Cerebrovascular Accident

Stroke or CVA w/ no add'l info - I63.9-Cerebral infarction, unspecified

Sequela of CVA

I69 - conditions classifiable to I60-I67 as causes of sequela
Sequela includes neurological deficits that persist after initial onset of the CVA. These may be present from the onset or may arise at any time after the onset.

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What is the ICD

Heart failure is assumed to be due to hypertension when coded using I11. 0, “Hypertensive heart disease with heart failure.” In ICD-10, the word “with” presumes a causal relationship between the two conditions linked by this term.

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.

What is the coding process for hypertensive heart disease?

Coding High Blood Pressure ICD-10-CM classifies HTN by type as essential or primary (categories I10–I13) and secondary (category I15). Report code I10 Essential (primary) hypertension for individuals who meet the criteria for hypertension and do not have any comorbid cardiac or renal disease.

What is the ICD

Code I50. 9 is the diagnosis code used for Heart Failure, Unspecified. It is a disorder characterized by the inability of the heart to pump blood at an adequate volume to meet tissue metabolic requirements.