Change in Guidelines - Chapter 9 Diseases of the Circulatory System

stephanie.moore@wdhospital.com

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There is a significant change to the guidelines in chapter 9: Diseases of the Circulatory System. As you may recall in order to code the diagnosis of Hypertensive Heart and/or Kidney Disease the documentation had to be supported with language linking the conditions. This has changed. There is a presumed causal relationship between hypertension and heart involvement (I50.- or I51.4 - I51.9) and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index of the ICD-10 CM book. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.

I am posting this as the changes did not make it to print.

Here is a link for the final ICD-10CM guidelines: http://www.google.com/url?sa=t&rct=...al.pdf&usg=AFQjCNFmKAc_YxwV4mUSzPjQjMO-kRe_bg

Here is a link to a great article giving an overview of the changes. http://www.icd10monitor.com/enews/i...nes-noteworthy-changes-and-revisions-for-2017



Steph
 
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