Hypertension, malignant: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = | | OldDxArticle = Malignant Hypertension | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Laura Kolesar | | InitialEditorAssigned = Laura Kolesar | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=I10.1 | | ICD10 Code=I10.1 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Cardiovascular}}{{ICD10 category|Hypertension}} | |||
{{ICD10 category|Cardiovascular}} | |||
== Additional Info == | == Additional Info == | ||
*Malignant hypertension is extremely high blood pressure that ''usually'' develops rapidly and to qualify MUST be associated with some type of acute organ damage from the high BP | |||
**The acute organ damage can be of any degree (and includes hypertensive encephalopathy which can be fully reversible once the BP comes down) and any organ -- but must be due to the high BP itself. | |||
*What is considered "extremely high" is, in textbooks SBP>180 or DBP>110, but are certainly people with BP this high that is "chronic" that don't have the organ damage that's required for this code. Malignant hypertension should be treated as a medical emergency. | |||
**'''BUT if somebody has a BP say 178/108 that's acute and has the organ damage, it should STILL be called malignant hypertension despite not meeting that arbitrary numerical threshold.''' | |||
*Due to all of this, the need for an acutely higher than normal BP AND end-organ damage due to it --- there may be an aspect of this diagnosis that has some subjectivity to it, i.e. "Is the BP high enough?" or "Is the organ dysfunction seen due to that acutely high BP?" | |||
* Hypertensive urgency | |||
* Hypertensive emergency | |||
* Hypertensive crisis | |||
== Alternate ICD10s to consider coding instead == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Hypertension}} | |||
{{ListICD10Category | categoryName = Pulmonary hypertension}} | |||
== Candidate [[Combined ICD10 codes]] == | |||
== | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | |||
{{EndPlaceHolder}} | |||
Latest revision as of 13:57, 24 July 2020
| ICD10 Diagnosis | |
| Dx: | Hypertension, malignant |
| ICD10 code: | I10.1 |
| Pre-ICD10 counterpart: | Malignant Hypertension |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Hypertension, 2019-0: CV NOS, 2019-0: Cardiovascular NOS |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Malignant hypertension is extremely high blood pressure that usually develops rapidly and to qualify MUST be associated with some type of acute organ damage from the high BP
- The acute organ damage can be of any degree (and includes hypertensive encephalopathy which can be fully reversible once the BP comes down) and any organ -- but must be due to the high BP itself.
- What is considered "extremely high" is, in textbooks SBP>180 or DBP>110, but are certainly people with BP this high that is "chronic" that don't have the organ damage that's required for this code. Malignant hypertension should be treated as a medical emergency.
- BUT if somebody has a BP say 178/108 that's acute and has the organ damage, it should STILL be called malignant hypertension despite not meeting that arbitrary numerical threshold.
- Due to all of this, the need for an acutely higher than normal BP AND end-organ damage due to it --- there may be an aspect of this diagnosis that has some subjectivity to it, i.e. "Is the BP high enough?" or "Is the organ dysfunction seen due to that acutely high BP?"
- Hypertensive urgency
- Hypertensive emergency
- Hypertensive crisis
Alternate ICD10s to consider coding instead or in addition
| Hypertension codes: |
| Pulmonary hypertension codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
| Related articles: |
Show all ICD10 Subcategories