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Thread: Need ICD for Hypertensive Emergency

  1. #1
    Join Date
    Apr 2007
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    Somers Point New Jersey
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    Smile Need ICD for Hypertensive Emergency

    Hi Friends,

    Please help me with this !

    I could not get the ICD-9 CM for hypertensive emergency.

    Do we have to consider it as Malignant hypertension or elevated BP.

    Cute Anuja, CPC

    "You will not have time to worry about tomorrow if you are busy doing what is to be done today"

  2. #2
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    cpc
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    Default

    I prefer 401.0.
    Last edited by veeramani14; 03-26-2012 at 04:18 AM.

  3. #3

    Default

    crisis - hypertension - leads to see-hypertension.
    urgency- hypetension - leads to hypertension.

  4. #4
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    Columbia, MO
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    Default

    you cannot use 401.0 based on the wording of hypertensive emergency the physician must stated malignant, otherwise all hypertension codes to 401.9

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Join Date
    Apr 2007
    Location
    Somers Point New Jersey
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    53

    Question hypertensive emergency

    I have one more doubt. ICD 401.0 is also used for accelarated hypertension ( Suddenly elevated blood pressure ) which can most appropriately represents hypertensive emergency. So why shouldn't 401.0 and only 401.9 ?

    Cute Anuja, CPC

    "You will not have time to worry about tomorrow if you are busy doing what is to be done today"

  6. #6
    Join Date
    Apr 2007
    Location
    Columbia, MO
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    Default

    Because we cannot assume we know a diagnosis. The provider did not say the patient has malignant hypertension so we do not assign this dx. The dx is the patient's not ours and we are the physician. If the provider does not render a dx that allows us to code a certain, we cannot read into it what we want in order to get the dx code we feel is more appropriate.

    Debra A. Mitchell, MSPH, CPC-H

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