Coding hypertension.
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Tag Archives: Hypertension
4 Tips for Accurate Pulmonary Hypertension Coding
PH WHO groups key to understanding I27 codes. Despite the fact that pulmonary hypertension (PH) is a “frequently identified … highly morbid condition … associated with increased mortality, hospitalizations and financial burden,” it is “rarely coded in the EHR [Electronic Health Record]” according to a recent article published in the Journal of Cardiac Failure. What, […]
The post 4 Tips for Accurate Pulmonary Hypertension Coding appeared first on AAPC Knowledge Center.
Primary vs. Secondary Hypertension
I have a cardiology office visit case wherein the Problem List in the medical documentation states, among many other conditions, "Hypertension, hard to control secondary to left ventricular noncomliance and aortic inelasticity." However, later on, in the assessment, it is stated, "Blood pressure well controlled."
My inclination was to code secondary hypertension, e.g., I15.8 Other secondary hypertension (although I’m not sure how I would report left ventricular noncompliance or aortic inelasticity). However, another coder stated that, since the assessment indicates "blood pressure well controlled," I should simply report I10.
Is this good advice? If so, why? Is it because it’s well controlled (doubt that’s a good reason), or is it simply because in the assessment, the doctor chose not to characterize the hypertension as secondary?
Thanks,
Jim Shaw, CPC-A
CMS Reconsiders “White Coat Hypertension” Limitation
Is ambulatory blood pressuring monitoring reasonable and necessary for people with masked hypertension? It has been 18 years since the Centers for Medicare & Medicaid Services (CMS) issued the National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM) (20.19). At the time, ABPM wasn’t even considered for patients diagnosed with hypertension. As such, Medicare […]
The post CMS Reconsiders “White Coat Hypertension” Limitation appeared first on AAPC Knowledge Center.
HPI for Hypertension
Our providers have this template for Hypertension which is supposed to cover at least 4 HPI’s but I am not sure I get 4 HPI elements, I really only see 3. I am interested in others opinions and guidance.
HPI – Hypertension
Compliance with medications: almost never misses a dose
Headaches: none
Epistaxis: none
Chest pain: none
Dizziness: none
Patients perception of control: good
Non-pharmacologic measures: good diet
Medication side effects: none
Acceptability of meds to the patient: OK to the patient
Further history: Pt is not checking his BP at home
I was counting:
Patients perception of control as quality
Headaches, epistaxis, chest pain, dizziness all associated signs and symptoms
compliance of medications as modifying factor
I don’t think location can be inferred by my co-worker does
TIA
KM – CPC
hypertension due to diabetes
Hello- i’m trying without much luck to find any guidelines on how to code when a provider documents "hypertension due to diabetes" I know that DM and HTN do not have a causal relationship and there are no combination codes to link them together.
One resource (see below) I found says you would code the E11- DM dx with the I15.2 hypertension secondary to endocrine disorders as 2ndary- I have not been able to find any other supporting documentation for this coding suggestion.
curious if anyone else has any input?
https://www.aafp.org/fpm/2018/0500/p33.html
thanks!
HELP!! Medicare rejecting I10 (hypertension) as non specific
Since the 10/1/18 ICD-10 update, Medicare is rejecting our claims if I10 is on it as a diagnosis. My providers tell me this is the proper code to diagnose the patient and further specificity is not correct. Is anyone else having this problem? If so, what can we do?
Hypertension with Heart Disease guidelines
I need clarification on the Hypertension with Heart Disease combination code I11._. The way I read the Hypertension w Heart Disease ICD10, it relates only to Heart Disease as in codes I50._ or I51.4-I51.9. Is there a combo code for Hypertension with ASHD? I11._ Hypertension w Heart Disease does not appear to include ASHD. I am assuming then, that I would code I10 and I25.10 for example when reporting Hypertension and ASHD. Thanks
Hypertension with ASHD ICD10 code
I need clarification on the Hypertension with Heart Disease combination code I11._. The way I read the Hypertension w Heart Disease ICD10, it relates only to Heart Disease as in codes I50._ or I51.4-I51.9. Is there a combo code for Hypertension with ASHD? I11._ Hypertension w Heart Disease does not appear to include ASHD. I am assuming then, that I would code I10 and I25.10 for example when reporting Hypertension and ASHD. Thanks
Coding Diabetes with Hypertension
Looking for opinions on coding Diabetes with Hypertension.
When coding in book, hypertension is not listed as a specified complication. Since hypertension is considered a circulatory complication I feel the correct code is E1159 rather than the more unspecified code of E1169 (other specified complication).
How do you code this? Do you know of any Coding Clinics regarding this?
Thank you!