Wiki Coding help - hypertension with cardiomegaly

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Code: I51.7

Code Name: ICD-10 Code for Cardiomegaly

Block: Other forms of heart disease (I30-I52)

Details: Cardiomegaly

Cardiac dilatation
Cardiac hypertrophy
Ventricular dilatation
I51

Excludes1: any condition in I51.4-I51.9 due to hypertension (I11.-)
any condition in I51.4-I51.9 due to hypertension and chronic kidney disease (I13.-)
heart disease specified as rheumatic (I00-I09)

Guidelines: Diseases of the circulatory system (I00-I99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

For more details on I51.7, ICD-10 Code for Cardiomegaly , visit: https://coder.aapc.com/icd-10-codes/

Sherlynn

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I need clarification on coding "essential hypertension with cardiomegaly". I'm a student and the codes I have are 401.9 for the hypertension and 429.3 for the cardiomegaly. Is this correct or is it 401.9 for hypertension and 402.9 for cardiomegaly? When I reference to check, 402.9 has wording that states hypertensive heart disease without heart failure unspecified. 429.3 states cardiomegaly and excludes that "due to hypertension". Our study guide does not state due to hypertension. It just states "essential hypertension with cardiomegaly". Thanks for any clarrificarion.
 

jewlz0879

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I need clarification on coding "essential hypertension with cardiomegaly". I'm a student and the codes I have are 401.9 for the hypertension and 429.3 for the cardiomegaly. Is this correct or is it 401.9 for hypertension and 402.9 for cardiomegaly? When I reference to check, 402.9 has wording that states hypertensive heart disease without heart failure unspecified. 429.3 states cardiomegaly and excludes that "due to hypertension". Our study guide does not state due to hypertension. It just states "essential hypertension with cardiomegaly". Thanks for any clarrificarion.
Your code selection is correct. You would only use 402.9X if the physician indicates the patient has hypertensive heart disease; essential hypertenstion would not be indicative of 402.9X.
 
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