Hypertension: Difference between revisions

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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, you can not use the [[15700 - Hypertension]], as it is only allowed as a [[comorbid]].
If a patient is having '''hypertensive''' blood pressure problems in unit, you can not use the [[15700 - Hypertension]], as it is only allowed as a [[Comorbid Disease-General Information | comorbid diagnosis]].


To code an [[admit/acquired diagnosis]] code [[19919 - Uncontrolled HTN]].  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.
To code an [[Admit Diagnosis]] or [[Acquired Diagnosis / Complication]] code [[19919 - Uncontrolled HTN]].  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'''.
Do '''not''' code hypertension if it is due to '''Inotropes'''.


[[19908 - Hypotension NYD (not due to shock or post op)]] should be used if a patient is having hypotension that is not related to septic, cardiogenic or [[hypovolemic shock]].
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 above for these shock patients as BP problems will be present by definition.
 
* [[19908 - Hypotension NYD (not due to shock or post op)]]
We use [[89800 - BP Control-Post Op]] for POST-OP 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 above for these shock patients as BP problems will be present by definition.
* [[89800 - BP Control-Post Op]]

Revision as of 18:26, 2011 July 26

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)]][[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


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 15700 - Hypertension, as it is only allowed as a comorbid diagnosis.

To code an Admit Diagnosis or Acquired Diagnosis / Complication code 19919 - Uncontrolled HTN. 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 above for these shock patients as BP problems will be present by definition.