Cardiology Coding Alert
Differentiate Between Types of Hypertension
Question: What is the difference between hypertension and pulmonary hypertension (HTN)? What is the correct way to code pulmonary HTN? Ohio Subscriber Answer: Systemic hypertension and pulmonary hypertension (PH) sound similar — and to a certain extent, they are. The word “hypertension” in both names means that pressure is high in the arteries, and the heart is working overtime to pump blood into them. The distinction? Where in the vasculature this high pressure exists. With systemic HTN, pressure is high in arteries throughout the body, whereas, in PH, there is high blood pressure in the pulmonary arteries, which carry oxygen-poor blood from the heart to the lungs. When your provider diagnoses a patient with PH, report the category I27.- (Other pulmonary heart diseases) code that best aligns with the documentation: Tip: “For secondary pulmonary hypertension (I27.1, I27.2-), code also any associated conditions or adverse effects of drugs or toxins. The sequencing is based on the reason for the encounter, except for adverse effects of drugs,” per the ICD-10-CM guidelines.
Related Articles
Cardiology Coding Alert
- CPT®:
Ace Holter Monitoring Reporting Every Time With Expert Advice
The date of service differs for component versus global codes. When a cardiologist performs a [...] - FAQs:
Transform Your Hypotension Coding With 4 FAQs
Report I95.0 for idiopathic hypotension. You will find at least six codes for hypotension in [...] - Revenue:
Stop Denials in Their Tracks With These Handy Tips
Make sure team members communicate clearly with one another. Denials can be a major threat [...] - You Be the Coder:
Use Combo Codes for Atherosclerotic Heart Disease With Angina Pectoris
Question: If a patient has atherosclerotic heart disease with angina pectoris, do I report each separately, [...] - Reader Questions:
Master Carotid Angiogram Conundrum
Question: The patient was brought to the cardiac Cath Lab in a fasting and non-sedated state. [...] - Reader Questions:
Dig Into ICD-10-CM Question
Question: I saw “Bouveret-Hoffmann” in my cardiologist’s documentation. How should I report this condition? Texas [...] - Reader Questions:
Ensure Practice Maintains Compliance
Question: We use wearable devices and health apps to remotely monitor our patients when they’re at [...] - Reader Questions:
Differentiate Between Types of Hypertension
Question: What is the difference between hypertension and pulmonary hypertension (HTN)? What is the correct way [...] - Reader Questions:
Solve This E/M Question
Question: Does an undiagnosed new problem with an uncertain diagnosis automatically mean a moderate level of [...]
