ICD-10 Coding for Renovascular Hypertension(I15.0, I70.1)
Complete ICD-10-CM coding and documentation guide for Renovascular Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Renovascular Hypertension
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I15.0 | Renovascular hypertension | Use when hypertension is secondary to renal artery stenosis or other renovascular conditions. |
|
| I70.1 | Atherosclerosis of renal artery | Use when atherosclerosis is identified as the cause of renal artery stenosis. |
|
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 renovascular hypertension
Essential facts and insights about Renovascular Hypertension
Primary ICD-10-CM Codes for renovascular hypertension
Decision Criteria
clinical Criteria
- Presence of renal artery stenosis confirmed by imaging
documentation Criteria
- Explicit documentation of hypertension due to renal artery stenosis
Applicable To
- Hypertension due to renal artery stenosis
Excludes
- Primary hypertension (I10)
Clinical Validation Requirements
- Imaging confirmation of renal artery stenosis (CTA, MRA, Doppler)
- Resistant hypertension (≥3 medications)
- Elevated creatinine levels
Code-Specific Risks
- Misclassification as primary hypertension
- Omission of underlying cause code
Coding Notes
- Ensure documentation specifies the causal relationship between hypertension and renal artery stenosis.
I70.1 - Atherosclerosis of renal artery
Use when atherosclerosis is identified as the cause of renal artery stenosis.
Applicable To
- Atherosclerotic renal artery stenosis
Excludes
- Atherosclerosis of other arteries (I70.2-I70.9)
Clinical Validation Requirements
- Imaging evidence of atherosclerosis in renal arteries
Coding Notes
Ensure imaging findings support the diagnosis of atherosclerosis.
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 Renovascular Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I15.0.
Impact
Clinical: Mismanagement of hypertension treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Educate providers on documentation standards., Use templates that prompt for causal documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies hypertension is due to renal artery stenosis.
Impact
Improper sequencing of primary and secondary codes can lead to audit flags.
Mitigation Strategy
Ensure training on correct sequencing rules and regular audits.
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 Renovascular Hypertension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Renovascular Hypertension
Use these documentation templates to ensure complete and accurate documentation for Renovascular Hypertension. These templates include all required elements for proper coding and billing.
Diagnosis of renovascular hypertension
Specialty: NephrologyRequired Elements
- Blood pressure readings
- Imaging results
- Medication history
- Renal function tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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