Hypertensive chronic kidney disease with heart failure icd 10

ICD-9 presumed a cause-and-effect relationship between chronic kidney disease (CKD) and hypertension even if another cause for the CKD was noted. ICD-10 only assumes a link between CKD and hypertension when the physician does not document another cause for the CKD (e.g. CKD due to diabetes). Please see cases below that illustrate the differences between the previous and current rules:

Case 1: CKD stage 4 linked to diabetes only

Patient with history of CKD stage 4 due to diabetic nephropathy, hypertensive heart disease, and diastolic heart failure presents with severe shortness of breath and diagnosed with acute exacerbation of diastolic heart failure.

DRG 292: Heart Failure with CC – RW: 0.9588

Case 2: CKD stage 4 linked to diabetes and hypertension

Patient with history of CKD stage 4 due to diabetic nephropathy and hypertensive heart disease, and diastolic heart failure presents with severe shortness of breath and diagnosed with acute exacerbation of diastolic heart failure.

DRG 291: Heart Failure with MCC – RW: 1.4799

• Ensuring documentation is clear regarding the causal relationships between hypertension, diabetes, and chronic kidney disease can have DRG implications
• Always review documentation to ensure cause-and-effect relationships are clearly documented, especially when conditions could potentially be due to more than one cause

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Brush Up on the Heart Failure, Hypertension, & Chronic Kidney Disease ICD-10 Codes

The Refresh With YES: ICD-10-CM Heart Failure, Hypertension, and CKD Learning Path teaches learners how to code and classify the different types of heart failure, hypertension, and chronic kidney disease (CKD) diagnoses, divided into 11-22-minute webinars. This learning path reviews the ICD-10-CM codes, guidelines, and coding scenarios for heart failure, as well as hypertension and kidney damage from CKD. Learners will also review applicable Coding Clinic resources and coding examples.

Furthermore, the courses offered within this learning path include:

• Course 1: Heart Failure Types Overview Part 1
• Course 2: Heart Failure Coding Part 2
• Course 3: Hypertension/CKD/Heart Failure Guidelines
• Course 4: Hypertension/CKD/Heart Failure Coding

YES Educators Ann Zeisset, RHIT, CCS, CCS-P, and Teri Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA, lead this course. This learning path provides 1 CEU certificate (1 AAPC CEU and towards 1 AHIMA CEU).

In addition, you can find this course on heart failure diagnoses, kidney damage, renal disease, additional ICD-10-CM coding refresher courses, and more on our YES Education Site.

Corporate pricing for courses and academies are also available upon request (request a demo here!).

Set your coding team up for success by enrolling in YES HIM Education’s programs and academies! Additionally, one HIM client coder says, “Thank you to the YES Education Team and the YES Academy Educators! I took the CCS exam and passed, I would not have been able to do that without your education and the ICD-10 Academy. The live Q&A sessions for the academy offer the one-on-one experience that you don’t see with most online courses.”

What is Hypertensive chronic kidney disease?

What are the correct code for Benign hypertensive heart disease and stage 3a chronic kidney disease?

Can you code hypertension and hypertensive heart disease together?

How do you code hypertensive heart disease with heart failure?