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Thread: Coding Hypertensive Heart Disease

  1. #1

    Smile Coding Hypertensive Heart Disease

    AAPC: Back to School
    Can anyone advise me on this question?

    If a patient has cardiomegaly due to HTN, is it appropriate to code the conditions as 402.91 and 429.3?

  2. #2


    You would only have to code the hypertensive heart disease. If you look in the ICD-9 book under 402 it lists cardiomegaly as included. Hope this helps!


  3. #3
    Join Date
    Apr 2007
    St. Cloud, MN


    I agree, just the 402.9X code would be submitted.
    Just be sure, if you use 402.91 that the patient has heart failure.
    402.90 is for Hypertensive heart disease without heart failure.
    402.91 is for Hypertensive heart disease with heart failure.

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