AAPC - Back to school
Results 1 to 3 of 3

Thread: Coding Hypertensive heart and CKD 404.XX

  1. #1

    Default Coding Hypertensive heart and CKD 404.XX

    AAPC: Back to School
    Need clarification if it appropriate to use the combination code 404.xx when a patient has CKD with hypertension and also has congestive heart failure (again dx of HTN is listed separately). Can you code 404.xx this if the HTN and CHF are not listed together or stated as hypertensive heart disease or should they be coded separately?

  2. #2
    Join Date
    Apr 2007
    Fresno Chapter


    Hello Linda,
    I had attended a talk from a guy who was certified in that specialty. If you need his name and credentials, I will have to look for the packet I received from him. But he had stated that for hypertensive heart disease or ckd it actually needs to state hypertensive heart disease or heart disease due to hypertention. Also that these codes are used mostly by a specialist. (Cardiologist) since the family practice/primary care doctors wouldn't normal have run the tests to know that the hypertension was the cause of those issues. I hope that helps.

  3. #3


    There is an automatic relationship with HTN and CKD, but not with heart disease and HTN, your doc would have to specify the heart disease is due to hypertension or state hypertensive CHF. So is your patient has HTN, CHF and CKD you would assign CHF as 428.0 and the HTN and CKD as such: 403.xx and 585.x.

Similar Threads

  1. Hypertensive heart and CKD
    By bridgettemartin in forum ICD-10
    Replies: 1
    Last Post: 12-31-2013, 03:09 PM
  2. Hypertensive CKD and DM with renal
    By Davidsond in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 10-18-2013, 09:13 AM
  3. Hypertensive Heart & CKD
    By dsteenken in forum Diagnosis Coding
    Replies: 2
    Last Post: 06-14-2013, 05:32 PM
  4. Coding Hypertensive heart and CKD 404.XX
    By LindaKrarup in forum Cardiology
    Replies: 1
    Last Post: 12-04-2009, 10:25 AM
  5. Coding Hypertensive Heart Disease
    By wntorres in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-22-2008, 03:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.