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Hypertensive part of Superbill

  1. #1
    Default Hypertensive part of Superbill
    Medical Coding Books
    Just to confirm some dx(s) for our office superbill. Hypertensive cardiovascular disease with congestive heart failure is coded as 402.90 and 428.0. And congestive heart failure with hypertension is 402.91 and 428.0. Any feedback?

  2. #2
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    402.91 says "with mention of heart failure therefore both would be coded as 402.91 with the 428.0.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default Hypertensive part of superbill
    Thank you for the confirmation. How about Cardiomegaly with Hypertension? I feel it is a heart code plus 401.9. Any thoughts?

  4. #4
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    Columbia, MO
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    from the OC 1 2010 guidelines:
    8. “With”
    The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List.
    Therefor cardiomegaly with hypertension is 402.90

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default Hypertensive Superbill
    Thanks. you are life saver. So strange though, I found something that said exactly the opposite.

  6. #6
    Location
    Columbia, MO
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    The info you found may be old, this was a revision of the the guidelines effective Oct 1 2010.

    Debra A. Mitchell, MSPH, CPC-H

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