Wiki Hypertension and (chronic) renal failure

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Code: I15.0

Code Name: ICD-10 Code for Renovascular hypertension

Block: Hypertensive diseases (I10-I16)

Excludes 1: hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
neonatal hypertension (P29.2)
primary pulmonary hypertension (I27.0)

Use additional code to identify:exposure to environmental tobacco smoke (Z77.22)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Details: Renovascular hypertension


Code also: underlying condition

Excludes1: postprocedural hypertension (I97.3)

Excludes2: secondary hypertension involving vessels of brain (I60-I69)
secondary hypertension involving vessels of eye (H35.0-)

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 I15.0 , ICD-10 Code for Renovascular hypertension , visit:


Best answers
Would chronic renal failure or just renal failure fall into Chapter 7 coding cause-effect relationship?

Thank you


Best answers

As per the coding guidelines, "we need to assign codes from category 403, hypertensive chronic kidney disease, when conditions classfiable to 585-587 are present" and hence Unspecified renal failure code is 586, which comes under this guideline.

Also as per the tabular list, when we check into failure - renal - under hypertension it leads to 403.91, the same code for hypertension with chronic renal failure.

So we can the causal relationship applies to both chronic renal failure and unspecified renal failure as well. But not to renal failure- 584.9, as we know.

Hope this helps you and have a great day!

Thank You,

Purnima S, CPC