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ICD9 CM and HTN Question

  1. #1
    Location
    Honolulu
    Posts
    20
    Default ICD9 CM and HTN Question
    Medical Coding Books
    And the right answer is??????

    The coding professional may assume a cause and effect relationship between
    HTN & which of the following?


    1. HTN and Heart
    2. HTN & renal
    3. HTN Heart and Renal
    4. None of the above

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Coding guidelines state "unlike hypertension with heart disease, ICD9-CM presumes a cause-and-effect relationship and classifies chronic kidney disease (CKD) with hypertension as hypertensive chronic kidney disease." That's straight out of the ICD-9-CM coding guidelines... Out of curiosity, is this on a test for HCC auditing?

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Assume?
    Well I have a problem with how the question is worded ...
    The coding professional NEVER assumes anything! If it isn't documented; it didn't happen.

  4. #4
    Default
    Quote Originally Posted by jcroly View Post
    And the right answer is??????

    The coding professional may assume a cause and effect relationship between
    HTN & which of the following?


    1. HTN and Heart
    2. HTN & renal
    3. HTN Heart and Renal
    4. None of the above
    I was taught that if the Dr didnt make a relation ship between the htn and heart, renal or heart and renal (ie: HTN with renal or HTN due to renal)there isnt one. So my answer would be 4 none of the above.

    I feel like I am being tested let me know if I'm right

    Dawn, CPC

  5. #5
    Default
    Quote Originally Posted by jcroly View Post
    And the right answer is??????

    The coding professional may assume a cause and effect relationship between
    HTN & which of the following?


    1. HTN and Heart
    2. HTN & renal
    3. HTN Heart and Renal
    4. None of the above
    If you read the coding guidelines in the front of the ICD-9 book for the chapter regarding HTN , you will find that the correct answer is #2 HTN and renal disease.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  6. #6
    Location
    Jamaica, NY
    Posts
    18
    Default
    Quote Originally Posted by rthames052006 View Post
    If you read the coding guidelines in the front of the ICD-9 book for the chapter regarding HTN , you will find that the correct answer is #2 HTN and renal disease.
    Does this mean that one should only code one of these conditions even though both are present at the encounter? Also, if a patient is being treated for hyperkalemia along with chronic kidney disease is it ok code the hyperkalemia or is that just symptom of ckd that is included in the original ckd code?

  7. #7
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    The answer is number (2) - I agree with Lisa - "unlike hypertension with heart disease, ICD9-CM presumes a cause-and-effect relationship and classifies chronic kidney disease (CKD) with hypertension as hypertensive chronic kidney disease."
    I think this has been the case since at least 2005 - perhaps sooner but 2005 is when I was made aware of it. It is in ICD-9-CM coding guidelines.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  8. #8
    Default
    the answer is 3. HTN Heart and Renal

    Quote Originally Posted by jcroly View Post
    And the right answer is??????

    The coding professional may assume a cause and effect relationship between
    HTN & which of the following?


    1. HTN and Heart
    2. HTN & renal
    3. HTN Heart and Renal
    4. None of the above
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  9. #9
    Default Coding for htn
    See this article in For the Record

    http://www.fortherecordmag.com/archives/042312p28.shtml
    Heather Winters, CPC, CFPC

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