Go Back   AAPC Forum > Medical Coding > Diagnosis Coding
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 09-09-2010, 07:30 AM
jenp0913 jenp0913 is offline
Contributor
 
Join Date: Apr 2007
Location: Buffalo, NY
Posts: 13
jenp0913 is on a distinguished road
Default Hypertensive Crisis Dx Code?

Can anyone tell me if I should use the code for Malignant hypertension 401.0 or Hypertension unspecified 401.9 when the chart indicates "Hypertensive Crisis"? Patient's primary dx was for carotid dissection.

Thank you!
Reply With Quote
  #2  
Old 09-09-2010, 09:58 AM
ohn0disaster ohn0disaster is offline
Expert
 
Join Date: Apr 2007
Location: Stuart, Florida
Posts: 331
ohn0disaster is on a distinguished road
Default

The correct coding for "Hypertensive crisis" is 401.9. Also, I found some additional information that may come in handy for those that need clarification in the future.


***Hypertension with no identifiable cause is called essential or primary hypertension and is the most common type of hypertension. Secondary hypertension is hypertension resulting from an underlying condition. Hypertension not otherwise specified is assigned to ICD-9-CM code 401.9. A mild, nonmalignant form of hypertension is termed benign hypertension (401.1). Malignant hypertension (also documented as accelerated hypertension) is a severe life-threatening form of hypertension with a diastolic pressure measuring above 120 millimeters of mercury and is classified to code 401.0.

A code for benign or malignant hypertension should not be assigned unless the physician documents the specific type in the body of the medical record. Documentation of hypertensive crisis or uncontrolled hypertension is not indicative of malignant hypertension. Without further clarification, assign code 401.9 for a diagnosis of hypertensive crisis or uncontrolled hypertension.***

Hope this is of help to you!
__________________
Vanessa Mier, CPC
Reply With Quote
  #3  
Old 09-09-2010, 11:06 AM
jenp0913 jenp0913 is offline
Contributor
 
Join Date: Apr 2007
Location: Buffalo, NY
Posts: 13
jenp0913 is on a distinguished road
Default

Thank you very much!!
Reply With Quote
  #4  
Old 09-02-2014, 12:43 PM
antonio3x3 antonio3x3 is offline
New
 
Join Date: Apr 2007
Posts: 2
antonio3x3 is on a distinguished road
Default Hypertensive Crisis Dx Code?

If the pt has a hypertensive crisis / emergency but also CKD, would 403.90 cover the crisis / emergency, as well?

Thanks!
Reply With Quote
  #5  
Old 11-09-2014, 11:09 PM
Raghupathy.Dharmaraj Raghupathy.Dharmaraj is offline
Contributor
 
Join Date: Apr 2007
Posts: 15
Raghupathy.Dharmaraj is an unknown quantity at this point
Default Hypertensive Crisis Dx Code?

Yes you can assume the cause and effect relationship for hypertension and CKD as per icd coding guidelines. Code 403.90 followed by 585.9.

Thanks,
Raghupathy Dharmaraj,CPC,CPC-H,CEDC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 04:16 PM.


Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC