Hypertension, malignant

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • I10.1

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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.

_q2 I would like to submit the following definition for peer review and discussion for Malignant Hypertension. Malignant Hypertension is extremely high blood pressure that develops rapidly and causes some type of organ damage. "Normal" blood pressure is <140/90. A person with Malignant Hypertension has a BP typically >180/120 --mvpenner 11:02, 2015 April 15 had a brief look at https://en.wikipedia.org/wiki/Hypertensive_emergency and it looks like additional things need to be present to define as hypertension. would you be OK if we just linked to there as we do fro many articles? Ttenbergen 15:27, 2015 April 15 Thank you!--mvpenner 06:04, 2015 April 16 Does that mean you agree that adding a link would be a solution/improvement? Ttenbergen 17:39, 2015 April 16 Thank Tina. I agree with posting the link, but also see benifit in having a brief summary in the definitions.--mvpenner 07:56, 2015 April 20 (CDT) Sure, but it needs to include all the relevant parts. From reading the wikipedia entry I didn't think the one you proposed would. Could someone more medical weigh in? I am just looking at it from a consistency angle... Ttenbergen 13:55, 2015 April 20 I think the abbreviated definition is clear and helpful. More info would probably make it less readableMlagadi 15:13, 2019 May 14 (CDT) I absolutely agree that any additional text makes is extra text to read ;-) but I want to make sure we don't leave out something vital. I'll leave this on Allan's list for now, hopefully we can get an answer at our next meeting.

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Alternate ICD10s to consider coding instead or in addition

Pulmonary hypertension codes:

Pulmonary hypertension, NOS Pulmonary hypertension, primary (PPH) Pulmonary hypertension, secondary (any cause)

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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