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Old 07-16-2010, 07:21 AM
arizona1 arizona1 is offline
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Default icd 9 code

How would you code, HTN with CHF?

the HTN index doesn't list 428.0 as one of the "conditions classifiable"

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Old 07-16-2010, 07:49 AM
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It depends on how it is documented in the record. If the physician states HTN with CHF then it is 401.9 and 428.0. If he states CHF due to HTN or hypertensive CHF then it is 402.9x with the 428.0
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Old 07-16-2010, 08:21 AM
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I thought "with" is an accepted "linking" as another form of "hypertensive CHF" so I coded it as 40290. I'll need to correct. Thank you for your reply
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Old 07-16-2010, 10:26 AM
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402.90 is the code for Hypertensive Heart (Disease) WITHOUT heart failure so either way the code would have been 402.91 to include the CHF.

"HTN with CHF" would just be 401.9 and 428.0.
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Old 07-19-2010, 09:10 AM
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Thank you
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Old 07-22-2010, 07:30 AM
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I confused - the guidelines state HTN and CKD are two diagnoses that can be "assumed" to be related, so no matter how written on the DOS wouldn't it be correct to "link" 40390/5859


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Old 07-22-2010, 07:36 AM
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Yes you are correct but the original post was for CHF and HTN which must be linked by the physician.
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Old 07-22-2010, 07:54 AM
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yes, I'm sorry. I had two thoughts going at the time. Bear with me, I 'm going to now try to correct in my mind.

All other diagnoses (HTN, DM, etc) supposively linked using; "with" is not acceptable. It must be "due to" or written in a combination word, such as hypertensive heart disease, diabetic neuropathy.

Which leads me to another question - written, HTN heart disease. cannot read as an abbreviated hypertensive heart disease, correct?

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Old 07-22-2010, 09:19 AM
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Absolutely correct. You really need to download the coding guidelines, all of this info is in those guideline. Just do a google search for ICD-9 CM guidelines and pick the one that has the CDC in the string it will give you access to the guidelines if you cannot find them send me a pm and I will send you the link or send them direct to you.
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Old 07-22-2010, 09:23 AM
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Thank you so much! I really appreciate your help!
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