ICD-10 Coding for Hypertensive Cardiovascular Disease(I11.0, I11.9)
Complete ICD-10-CM coding and documentation guide for Hypertensive Cardiovascular Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertensive Cardiovascular Disease
I10-I15Primary Range
Hypertensive diseases
This range includes all hypertensive conditions, including hypertensive heart disease and hypertensive heart failure.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I11.0 | Hypertensive heart disease with heart failure | Use when heart failure is present and linked to hypertension. |
|
| I11.9 | Hypertensive heart disease without heart failure | Use when there is cardiac involvement without heart failure. |
|
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 hypertensive cardiovascular disease
Essential facts and insights about Hypertensive Cardiovascular Disease
Primary ICD-10-CM Codes for hypertensive cardiovascular disease
Decision Criteria
clinical Criteria
- Presence of heart failure linked to hypertension
Applicable To
- Hypertensive heart disease with heart failure
Excludes
- Heart failure due to other causes
Clinical Validation Requirements
- Echocardiogram showing left ventricular hypertrophy
- BNP levels >100 pg/mL
- Ejection fraction ≤40%
Code-Specific Risks
- Incorrect sequencing with heart failure codes
- Omitting specific heart failure type
Coding Notes
- Always sequence I11.0 before heart failure codes.
I11.9 - Hypertensive heart disease without heart failure
Use when there is cardiac involvement without heart failure.
Applicable To
- Hypertensive heart disease without heart failure
Excludes
- Hypertensive heart disease with heart failure
Clinical Validation Requirements
- Echocardiogram showing left ventricular hypertrophy
- ECG changes indicative of strain
Coding Notes
Ensure documentation supports cardiac involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertensive Cardiovascular Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I11.0.
Impact
Clinical: Inaccurate clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential revenue loss
Mitigation Strategy
Always document heart failure type, Use specific heart failure codes
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always list I11.0 before heart failure codes.
Impact
Inadequate documentation of heart failure type and linkage to hypertension.
Mitigation Strategy
Ensure comprehensive documentation of heart failure and its link to hypertension.
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 Hypertensive Cardiovascular Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertensive Cardiovascular Disease
Use these documentation templates to ensure complete and accurate documentation for Hypertensive Cardiovascular Disease. These templates include all required elements for proper coding and billing.
Hypertensive heart disease with heart failure
Specialty: CardiologyRequired Elements
- Echocardiogram results
- Heart failure type
- Blood pressure readings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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