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ICD-10 Coding for Accelerated Hypertension(I10, I16.1)

Complete ICD-10-CM coding and documentation guide for Accelerated Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Accelerated HTNMalignant Hypertension

Related ICD-10 Code Ranges

Complete code families applicable to Accelerated Hypertension

I10-I15Primary Range

Hypertensive diseases

This range includes codes for primary and secondary hypertension, including accelerated hypertension.

Hypertensive crisis

Used when there is a hypertensive emergency or urgency, which may accompany accelerated hypertension.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I10Essential (primary) hypertensionUse for accelerated hypertension without acute end-organ damage.
  • BP readings ≥180/130 mmHg on two separate occasions
  • Documentation of progression from controlled to uncontrolled hypertension
I16.1Hypertensive emergencyUse when accelerated hypertension is accompanied by acute end-organ damage.
  • Presence of acute end-organ damage such as renal failure or encephalopathy

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for accelerated hypertension

Essential facts and insights about Accelerated Hypertension

The ICD-10 code for accelerated hypertension is I10, used when there is no acute end-organ damage.

Primary ICD-10-CM Codes for accelerated hypertension

Essential (primary) hypertension
Billable Code

Decision Criteria

clinical Criteria

  • BP readings ≥180/130 mmHg on two separate occasions

documentation Criteria

  • Documentation of progression from controlled to uncontrolled hypertension

Applicable To

  • Accelerated hypertension without acute end-organ damage

Excludes

  • Hypertensive crisis (I16.-)

Clinical Validation Requirements

  • BP readings ≥180/130 mmHg on two separate occasions
  • Documentation of progression from controlled to uncontrolled hypertension

Code-Specific Risks

  • Incorrectly coding as hypertensive crisis when no acute end-organ damage is present.

Coding Notes

  • Ensure documentation specifies 'accelerated hypertension' and includes BP readings.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Epistaxis

R04.0
Use when epistaxis is present with accelerated hypertension.

Acute kidney failure, unspecified

N17.9
Use when acute kidney injury is present.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hypertensive emergency

I16.1
Use when there is acute end-organ damage present.

Essential (primary) hypertension

I10
Use when there is no acute end-organ damage.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Accelerated Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I10.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Always record BP readings in the patient's chart., Ensure readings are taken at two separate visits.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Reserve I16.1 for cases with acute end-organ damage.

Impact

Using I16.1 without evidence of acute end-organ damage.

Mitigation Strategy

Ensure documentation supports the use of I16.1.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Accelerated Hypertension, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Accelerated Hypertension

Use these documentation templates to ensure complete and accurate documentation for Accelerated Hypertension. These templates include all required elements for proper coding and billing.

Accelerated Hypertension with Epistaxis

Specialty: Internal Medicine

Required Elements

  • BP readings
  • Symptoms
  • End-organ damage assessments
  • Lab results

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has high BP.
Good Documentation Example
Patient presents with accelerated hypertension, BP 190/120 mmHg, bilateral retinal hemorrhages, and elevated serum creatinine of 2.1 mg/dL.
Explanation
The good example provides specific BP readings and evidence of end-organ damage.

Need help with ICD-10 coding for Accelerated Hypertension? Ask your questions below.

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