Results 1 to 6 of 6

796.2 vs 401

  1. #1
    Default 796.2 vs 401
    Medical Coding Books
    If a provider writes elevated or high blood pressure can someone please direct me somewhere in black and white maybe from CMS that it says to assign 796.2 and not 401.X. I know it says it on the guidelines but I am trying to find it somewhere on CMS because people are fighting me and want to code 401. Thanks for everyones help.

    Jessica Harrell, CPC

  2. #2
    Default
    I'm sure there isn't anything on the CMS website regarding this issue. I would check with your physician to find out his/her intent. HBP can caused my many things. If the physician is still trying to determine the cause of the HBP, then I would code 796.2. If the MD meant to diagnose hypertension, then go with 40x.x codes.

  3. #3
    Location
    Columbia, MO
    Posts
    12,843
    Default
    You can NOT code based on intent you can code based soely on the documentation. The coding guidelines is as good as it gets with respect to dx coding. If you look on the first page of the guidelines it states:
    These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS.
    ALSO:
    Adherence to these guidelines when assigning ICD-9-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA).
    Sooooooo the guidelines tell us that HBP is to be coded as 796.2, that is good enough for anyone.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    Quote Originally Posted by mitchellde View Post
    You can NOT code based on intent you can code based soely on the documentation. The coding guidelines is as good as it gets with respect to dx coding. If you look on the first page of the guidelines it states:
    These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS.
    ALSO:
    Adherence to these guidelines when assigning ICD-9-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA).
    Sooooooo the guidelines tell us that HBP is to be coded as 796.2, that is good enough for anyone.
    I should have written more clearly. I did not intend to make it seem like you should code based on intent. What I meant was clarification of diagnosis might be required from the MD in order to make a decision. In the absence of such clarification, you have to use the words as written. In this case the words point you toward 796.2. My apologies for being unclear!

  5. #5
    Default
    thanks guys for your help, I have never read that it said that in the beginning of the guidelines that is interesting.

    Thanks,
    Jessica Harrell, CPC

  6. #6
    Default
    http://partbinsider.com/coding_coach.html
    here is a link with some info on 401.xx
    hope this helps

Similar Threads

  1. 401.9 vs 796.2
    By snowfall in forum Diagnosis Coding
    Replies: 2
    Last Post: 09-13-2015, 05:35 PM
  2. HTN Coding 401.0-401.1 or 401.9
    By jlrentas in forum Diagnosis Coding
    Replies: 4
    Last Post: 10-16-2014, 11:08 AM
  3. 796.0 vs 305.XX
    By oskolkoff in forum Diagnosis Coding
    Replies: 1
    Last Post: 06-28-2012, 07:14 PM
  4. When to use 796.9 over 796.4 in a clinical laboratory setting?
    By sajarvis in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-28-2010, 12:32 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?

Login

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.