Hi,
I have encountered a scenario, where the physician documented both Essential Hypertension and Pulmonary Hypertension. We will get 401.9 (essential hypertension) and 416.8 (Pulmonary hypertension). coding Clinic reference says:
Pulmonary Hypertension with Chronic Endstage Renal Disease and Benign Hypertension
Coding Clinic, Third Quarter 2010 Page: 12
Effective with Discharges: October 1, 2010
Question:
What are the code assignments for chronic endstage renal disease and benign hypertension with pulmonary hypertension? Category 401, Essential hypertension, excludes codes in category 416, Chronic pulmonary heart disease.
Answer:
Assign codes 416.8, Other chronic pulmonary heart diseases, 403.11, Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease, and 585.6, End stage renal disease.
The “excludes note” at category 401 indicates essential and pulmonary hypertension are coded in separate categories; however, when the physician diagnoses both conditions, the two categories may be reported together."
From this I understands we can add the specific forms of hypertension like benign/malignant or hypertensive kidney/or hypertensive heart etc. along with pulmonary hypertension 416.8. But need clarification on the following...
Do we need to code 401.9 an unspecified hypertension with a specified type of hypertension which is pulmonary hypertension 416.8?
Thanks for any reply...
Thara L CPC H
I have encountered a scenario, where the physician documented both Essential Hypertension and Pulmonary Hypertension. We will get 401.9 (essential hypertension) and 416.8 (Pulmonary hypertension). coding Clinic reference says:
Pulmonary Hypertension with Chronic Endstage Renal Disease and Benign Hypertension
Coding Clinic, Third Quarter 2010 Page: 12
Effective with Discharges: October 1, 2010
Question:
What are the code assignments for chronic endstage renal disease and benign hypertension with pulmonary hypertension? Category 401, Essential hypertension, excludes codes in category 416, Chronic pulmonary heart disease.
Answer:
Assign codes 416.8, Other chronic pulmonary heart diseases, 403.11, Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease, and 585.6, End stage renal disease.
The “excludes note” at category 401 indicates essential and pulmonary hypertension are coded in separate categories; however, when the physician diagnoses both conditions, the two categories may be reported together."
From this I understands we can add the specific forms of hypertension like benign/malignant or hypertensive kidney/or hypertensive heart etc. along with pulmonary hypertension 416.8. But need clarification on the following...
Do we need to code 401.9 an unspecified hypertension with a specified type of hypertension which is pulmonary hypertension 416.8?
Thanks for any reply...
Thara L CPC H
