Results 1 to 3 of 3

Hypertention Malignant verus Benign

  1. Exclamation Hypertention Malignant verus Benign
    Medical Coding Books
    please define the differences between, Malignant Hypertention and Benign Hypertention

  2. Default Hypertension Coding
    Benign hypertension is Essential hypertension that runs a relatively long and symptomless course.

    Malignant hypertension is characterized by rapidly rising blood pressure, usually in excess of 140 mm Hg diastolic with findings of visual impairment and symptoms or signs of progressive cardiac failure.

    ICD-9 official guidelines offer a key rule for compliant HTN coding. When reporting codes from 401.x, you must choose a fourth digit to complete the code: "malignant (.0), benign (.1), or unspecified (.9). Do not use either .0 malignant or .1 benign unless medical record documentation supports such a designation."

    That guideline means that if the physician documents only "hypertension" as the diagnosis (without stating benign or malignant), your only compliant choice is 401.9 (Essential hypertension; unspecified). Although benign HTN is far more common than malignant HTN, you shouldn’t assume any patient’s HTN is benign when you choose your code.

    also go through:-
    Last edited by Rudolph.Dmello ; 02-03-2012 at 12:24 PM. Reason: Added a reference

  3. #3
    Columbia, MO
    exactly what I was going to say. The diagnosis of malignant vs benign is completely up to the provider and will be based on many factors. It is not the coders discretion to add up symptoms and lab values and determine the diagnosis. Therefore for hypertension as Dr Dmello points out will be unspecified unless documented as benign or malignant.
    ICD-10 CM however at this time does not have codes for benign or malignant or unspecified, the code is I10 and is hypertension.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Replies: 2
    Last Post: 10-04-2014, 12:12 AM
  2. Benign vs malignant
    By lalalisa in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 05-16-2014, 03:50 PM
  3. Benign vs malignant
    By lalalisa in forum General Surgery
    Replies: 1
    Last Post: 05-16-2014, 06:28 AM
  4. Benign or Malignant?
    By elizabeth24 in forum General Surgery
    Replies: 4
    Last Post: 02-15-2011, 10:31 AM
  5. Benign vs Malignant CPT
    By JMGEYER in forum General Surgery
    Replies: 5
    Last Post: 04-28-2009, 02:28 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?


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.