ICD-10 Coding for Hypertension Not Otherwise Specified(I10)
Complete ICD-10-CM coding and documentation guide for Hypertension Not Otherwise Specified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertension Not Otherwise Specified
I10-I15Primary Range
Hypertensive diseases
This range includes all codes related to hypertensive diseases, with I10 being the primary code for essential hypertension without complications.
Key Information: ICD-10 code for hypertension not otherwise specified
Essential facts and insights about Hypertension Not Otherwise Specified
Primary ICD-10-CM Code for hypertension not otherwise specified
Decision Criteria
clinical Criteria
- Two separate BP measurements ≥140/90
documentation Criteria
- Explicit statement of 'essential hypertension'
Applicable To
- Hypertension NOS
Clinical Validation Requirements
- Two separate BP measurements ≥140/90
- Explicit diagnosis of hypertension
Code-Specific Risks
- Incorrectly using I10 when heart or kidney disease is present.
Coding Notes
- Ensure that hypertension is explicitly diagnosed and not just based on elevated readings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of nicotine dependence
Z87.891Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertension Not Otherwise Specified 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 inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure formal diagnosis is documented., Educate staff on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use I11 or I12 codes when heart or kidney disease is present.
Impact
Incorrect use of I10 when comorbid conditions are present.
Mitigation Strategy
Regularly review coding guidelines and provide coder education.
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 Hypertension Not Otherwise Specified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertension Not Otherwise Specified
Use these documentation templates to ensure complete and accurate documentation for Hypertension Not Otherwise Specified. These templates include all required elements for proper coding and billing.
Routine Hypertension Check
Specialty: Primary CareRequired Elements
- BP readings
- Diagnosis confirmation
- Absence of heart/kidney symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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