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Icd-9 for Personal history of Hypertention

  1. #1
    Default Icd-9 for Personal history of Hypertention
    Medical Coding Books

    I have been having trouble coding personal history of hypertension. I have been coding V12.59, but not sure if it is right. I have not seen any other code for this. Any ideas?

  2. Default V12.59
    I think V12.59 is a pretty non specific code. Does this person no longer have hypertension?
    Does he/she have elvated BP without a DX of hypertension? You could use 796.2 "elevated BP reading without diagnosis of hypertension. My book says "this category is to be used to record an episode of elevated blood pressure in a patient in whom no formal DX of HTN has been made, or as an incidental finding."

    If this patient still has HTN then you need to code it as HTN.

  3. Default What about if the pt is medicated?
    What if the patient is currently medicated and the HTN has been controlled? Would you use hx of hypertension or would you still code the HTN?



  4. Default
    If she/he no longer is hypertensive due to good control of hypertensive medication, the patient still has hypertension. That should be coded...not history of....

  5. Default history of HTN code
    I.e History of hypertension we have to code hypertension? actually confused.

  6. #6
    Columbia, MO
    If the patient is still being treated for HTN then the medication is what is keeping the condition stable, if the meds were withheld, the condition would escalate therefore the condition of HTN is still a current condition it is just stable. Just like diabetes which is controlled by insulin.

    Debra A. Mitchell, MSPH, CPC-H

  7. Default
    What if the patient is now off of all meds?
    Last edited by cyprice; 07-22-2014 at 11:10 AM.

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