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Hypertensive heart disease

rxf7089

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How do you code hypertensive heart disease with cardiomegaly.Should I use two codes?

thanks
 

srinivas r sajja

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Hypertension with Heart Disease
Heart conditions (425.8, 429.0-429.3, 429.8, 429.9) are assigned to a code from category 402 when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code from category 428 to identify the type of heart failure in those patients with heart failure. More than one code from category 428 may be assigned if the patient has systolic or diastolic failure and congestive heart failure.
The same heart conditions (425.8, 429.0-429.3, 429.8, 429.9) with hypertension, but without a stated causal relationship, are coded separately. Sequence according to the circumstances of the admission/encounter.
 

srinivas r sajja

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Messages
533
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0
Hypertension with Heart Disease
Heart conditions (425.8, 429.0-429.3, 429.8, 429.9) are assigned to a code from category 402 when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code from category 428 to identify the type of heart failure in those patients with heart failure. More than one code from category 428 may be assigned if the patient has systolic or diastolic failure and congestive heart failure.
The same heart conditions (425.8, 429.0-429.3, 429.8, 429.9) with hypertension, but without a stated causal relationship, are coded separately. Sequence according to the circumstances of the admission/encounter.
 

rxf7089

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I have read the definition, but i still don't understand. I believe the doctor has to stated both diagnosis, but as far as coding, do i code both or only 402.90?
 
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htn, chf and hypertensive heart disease

Hi
In the patient chart it states as so: esssential hypertension, hypertensive heart disease and congestive heart failure.
how do I code this out?
all 3 codes separately, or just 402.90 and 428.0?

Thank you
 
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