AAPC - Back to school
Results 1 to 2 of 2

Thread: Elevated Blood Pressure

  1. #1

    Default Elevated Blood Pressure

    AAPC: Back to School
    My clinics are in the process of starting a new program for HTN management and questions have come up regarding coding as it relates to elevated blood pressure.

    1. What is the definiton of elevated blood pressure? Does ICD-9 follow JNC7?

    2. Would you report code 796.2 (EPB) for a dx of pre hypertension? If not, what would the apporiate code be?

    3. For those who are reporting code 796.2 (EBP), are you getting reimbursed for this code?

    4. If a patient was diagnosed on a visit with either pre hypertension or elevated BP, and they return for a follow-up visit, how would you code the visit? What I mean is can you report 796.2 again if the BP is still elevated?

    Sorry for all the questions here, but we are just trying to get our hands around this issue. Any insight appreciated. Thanks in advance.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2

    Default Elevated BP

    YOu have to be careful when coding elevated BP. A person can have a elevated BP for a number of reasons. The physician must document that patient has HTN because if his /her BP was just elevated a couple of times (maybe he was in a hurry and running late, may be upset about something etc) and you code HTN and they are not it could reek havoc down the road when they try to apply for life insurance etc.

    The common rule of thumb most physicians go by is that the BP must be elevated at 3 different office visits for a definitive diagnosis of HTN.

    There is a code for elevated BP. Look up elevated or elevation then BP and you will find it.

    Mary B., CPC, CMA(AAMA)

Similar Threads

  1. Elevated Right Heart Filling Pressure - HF?
    By jfields in forum Cardiology
    Replies: 0
    Last Post: 06-12-2013, 08:52 AM
  2. Blood Pressure Screening
    By fredcpc in forum E/M
    Replies: 6
    Last Post: 12-13-2012, 08:00 PM
  3. Blood Pressure Check - What is the diagnosis code
    By jwschroeterjr@gmail.com in forum Diagnosis Coding
    Replies: 0
    Last Post: 01-20-2011, 01:35 PM
  4. hypertension vs elevated blood pressure...
    By Lisa Bledsoe in forum Diagnosis Coding
    Replies: 4
    Last Post: 10-14-2010, 10:58 AM

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.