Hypertension: Difference between revisions

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{{DX tag | Cardiovascular Problems  | [[:Category: Medical Problem | Medical Problem]] | Hypertension | HYPERTENSION | [[15700 - Hypertension]] | Yes [[Category: Comorbid Diagnosis]] | 0 | CC & Med | Currently Collected |  | | }}
{{PreICD10 dx | NewDxArticle = Hypertension, essential (primary)}}
{{PreICD10 dx | NewDxArticle = Hypertension, secondary, NOS}}
{{PreICD10 dx | NewDxArticle = Hypertension, renovascular}}
{{PreICD10 dx | NewDxArticle = Hypertension, malignant}}
{{DX tag | Cardiovascular Problems  | Medical Problem | Hypertension | HYPERTENSION | 15700 - Hypertension | Yes | 0 | CC & Med | Currently Collected |  | | }}


== Diagnostic codes – Clarification of coding convention for HYPERTENSION / BP problems ==
NOTE:Code 15700 Hypertension is only avaible as a COMORBID DIAGNOSIS code.
February 14.01


Since we have a number of codes for BP problems, the following has been decided for the coding of BP problems in unit.
Since we have a number of codes for BP problems, the following has been decided for the coding of BP problems in unit.


If a patient is having '''hypertensive''' blood pressure problems in unit, please do '''not''' use 157 in the admit or acquired slots.  Use code 199-19.  This code can be used if a patient has an underlying condition of HTN (comorbid) OR if you are not sure why he is having hypertensive BP problems, but the problem is significant and is being treated.
If a patient is having '''hypertensive''' blood pressure problems in unit, you can not use the code  
(if it is due to inotropes – do not code).
157-00 [[Hypertension]], as it is only allowed as a [[Charlson Comorbid coding (pre ICD10) | comorbid diagnosis]].


Code 199-8 (hypotension NYD) should be used if a patient is having hypotension that is not related to septic, cardiogenic or [[Hypovolemic Shock | hypovolemic shock]].
To code an [[Admit Diagnosis]] or [[Acquired Diagnosis / Complication]] use code 199-19  [[Uncontrolled Hypertension]].  This code can be used if a patient has an underlying condition of HTN (comorbid) '''or''' if you are not sure why he is having hypertensive BP problems, but the problem is significant and is being treated.


Do '''not''' code hypertension if it is due to '''Inotropes'''.


Code 898 – we will go back to using this for POST-OP patients only with any type of significant BP problems unrelated to septic,  
Use the following for patients who patients only with any type of significant BP problems '''unrelated''' to [[Septic Shock|septic]], [[Cardiogenic Shock | cardiogenic]] or [[Hypovolemic Shock]]. Do not use any of the BP codes listed for shock patients as BP problems will be present by definition.
cardiogenic or hypovolemic shock.
* 19908 - Hypotension NYD (not due to shock or post op)
 
* 19919 - Uncontrolled Hypertension
If a patient is in septic, cardiogenic or hypovolemic shock – do not use any of the BP codes listed above. This diagnosis is self
* 89800 - BP Control-Post Op  (this is for either post op hypotension or hypertension).
explanatory.
 
The database has been audited and fixed up to reflect the current coding conventions.

Latest revision as of 09:43, 2019 January 24



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Hypertension, renovascular, Hypertension, essential (primary), Hypertension, secondary, NOS, Hypertension, malignant

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Cardiovascular Problems (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Hypertension
Sub Diagnosis: HYPERTENSION
Diagnosis Code: 15700 - Hypertension
Comorbid Diagnosis: Yes
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected


NOTE:Code 15700 Hypertension is only avaible as a COMORBID DIAGNOSIS code.

Since we have a number of codes for BP problems, the following has been decided for the coding of BP problems in unit.

If a patient is having hypertensive blood pressure problems in unit, you can not use the code 157-00 Hypertension, as it is only allowed as a comorbid diagnosis.

To code an Admit Diagnosis or Acquired Diagnosis / Complication use code 199-19 Uncontrolled Hypertension. This code can be used if a patient has an underlying condition of HTN (comorbid) or if you are not sure why he is having hypertensive BP problems, but the problem is significant and is being treated.

Do not code hypertension if it is due to Inotropes.

Use the following for patients who patients only with any type of significant BP problems unrelated to septic, cardiogenic or Hypovolemic Shock. Do not use any of the BP codes listed for shock patients as BP problems will be present by definition.

  • 19908 - Hypotension NYD (not due to shock or post op)
  • 19919 - Uncontrolled Hypertension
  • 89800 - BP Control-Post Op (this is for either post op hypotension or hypertension).
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