ICD-10 Coding for Quick Reference for Medical Coding(I11.0, N18.6)
Complete ICD-10-CM coding and documentation guide for Quick Reference for Medical Coding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Quick Reference for Medical Coding
I10-I15Primary Range
Hypertensive diseases
This range includes codes for hypertension and related conditions, which are frequently encountered in clinical practice.
Chronic kidney disease and related conditions
Includes codes for chronic kidney disease, often used in conjunction with anemia codes.
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 both hypertension and heart failure are present and documented. |
|
| N18.6 | End stage renal disease | Use when chronic kidney disease has progressed to end stage and dialysis is required. |
|
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 heart disease
Essential facts and insights about Quick Reference for Medical Coding
Primary ICD-10-CM Codes for quick reference
Decision Criteria
clinical Criteria
- Presence of both hypertension and heart failure symptoms
Applicable To
- Hypertensive heart disease with congestive heart failure
Excludes
- Heart failure due to hypertension with chronic kidney disease (I13.-)
Clinical Validation Requirements
- Documented diagnosis of hypertension
- Evidence of heart failure (e.g., echocardiogram)
Code-Specific Risks
- Ensure heart failure is documented as related to hypertension.
Coding Notes
- Ensure documentation supports the linkage between hypertension and heart failure.
N18.6 - End stage renal disease
Use when chronic kidney disease has progressed to end stage and dialysis is required.
Applicable To
- Chronic kidney disease stage 5 requiring chronic dialysis
Excludes
- Acute kidney failure (N17.-)
Clinical Validation Requirements
- GFR <15 mL/min/1.73 m²
- Documentation of dialysis requirement
Coding Notes
Ensure CKD stage and dialysis status are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Quick Reference for Medical Coding 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 treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect sequencing can lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Follow 'code first' instructions to sequence the underlying condition before the manifestation.
Impact
Frequent errors in sequencing hypertension with related conditions.
Mitigation Strategy
Regular training on 'code first' rules and documentation review.
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 Quick Reference for Medical Coding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Quick Reference for Medical Coding
Use these documentation templates to ensure complete and accurate documentation for Quick Reference for Medical Coding. These templates include all required elements for proper coding and billing.
Hypertensive heart disease with heart failure
Specialty: CardiologyRequired Elements
- Patient history of hypertension
- Symptoms of heart failure
- Echocardiogram results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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