Congestive heart failure due to hypertension: I11.0 + I50.9.However, an additional code from category I50 is required to specify the type of heart failure, if known.ĭocumentation may vary, but coding instructions remain the same. If the provider specifically documents different causes for the hypertension and the heart condition, the heart condition (I50.-, II51.4 to I51.9) and hypertension are coded separately.1Ĭategory I11 is subdivided to indicate whether heart failure is present. Code first I11.0 (hypertensive heart disease with heart failure) as instructed by the note at category I50 (heart failure).
These conditions should be coded as related even in the absence of provider documentation linking them.
ICD-10-CM presumes a causal relationship between hypertension and heart involvement and classifies hypertension and heart conditions to category I11 (hypertensive heart disease) because the two conditions are linked by the term “with” in the Alphabetic Index of ICD-10-CM.
Hypertensive heart and CKD with heart failure and with stage 5 CKD or ERSD Hypertensive heart and CKD without heart failure with stage 5 CKD or ERSD Hypertensive heart and CKD without heart failure with stage 1 through stage 4 CKD or unspecified CKD Hypertensive heart and CKD with heart failure and stage 1 through stage 4 CKD or unspecified CKD Hypertensive CKD with stage 1 through stage 4 CKD or unspecified CKD Hypertensive CKD with stage 5 CKD or end-stage renal disease (ERSD) Hypertensive heart disease without heart failure Hypertensive heart disease with heart failure
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