Wiki Hypertension vs Diastolic Heart Failure

[RJScoops@yahoo.com]

Doctor reported the patient had hypertension and Diastolic Heart Failure.. can I assume heart failure is due to hypertension and use code 402.91 ? And if I can use this code do I also need to code hypertension unspecified 401.9 or is in included.

What is the code for ventricular dysfunction when hypertension is not involved and when it is involved??

Thank you.

 

[mitchellde]

Hypertensive heart disease (402.-) must be a stated relationship by the provider and can never be assumed by the coder. It can be documented as "hypertensive heart disease" or a heart disease due to hypertension" but hypertension and heart disease is not causal and is coded separate.

 

[ljulien]

The code for ventricular dysfunction is 429.9. However, if the documentation states HTN (401.9) and Diastolic HF (428.30), you should code what's documented. You cannot assume a casual relationship between HTN and HF.