Find information on hypertensive heart disease with heart failure, including clinical documentation requirements, medical coding guidelines (ICD-10-CM I11.0, I50.9), and healthcare resources for diagnosis and treatment. Learn about the connection between hypertension and heart failure, stages of heart failure, and effective management strategies. Explore resources for physicians, coders, and other healthcare professionals dealing with hypertensive heart disease and its impact on patient care. This resource provides guidance on accurate diagnosis coding and comprehensive documentation for optimal reimbursement and improved patient outcomes.
Also known as
Hypertensive heart disease
Heart conditions caused by high blood pressure.
Heart failure
Heart's inability to pump enough blood.
Hypertensive heart disease with heart failure
Heart failure specifically due to high blood pressure.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is heart failure systolic?
Yes
With preserved ejection fraction?
No
Is heart failure diastolic?
When to use each related code
| Description |
|---|
| Hypertensive heart disease with heart failure |
| Hypertensive heart disease |
| Heart failure |
Coding heart failure without specifying systolic, diastolic, or combined type (e.g., I50.43 vs. I50.42) can lead to inaccurate DRG assignment and reimbursement.
Failing to code associated conditions like hypertension (I11.x), renal disease (N00-N99), or diabetes (E10-E14) impacts risk adjustment and quality metrics.
Lack of documentation specifying heart failure stage (A, B, C, or D) via NYHA classification hinders accurate reflection of severity and resource utilization.
Patient presents with hypertensive heart disease with heart failure. The patient reports dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Physical examination reveals elevated blood pressure, jugular venous distension, and bilateral lower extremity edema. Auscultation reveals an S3 gallop. The patient's medical history includes long-standing hypertension, poorly controlled despite medication adherence issues. Echocardiogram demonstrates left ventricular hypertrophy and reduced ejection fraction, consistent with hypertensive heart disease and systolic heart failure. Diagnosis of hypertensive heart disease with heart failure is confirmed. Treatment plan includes optimization of blood pressure control with diuretics, ACE inhibitors, and beta-blockers. Patient education provided regarding medication compliance, low sodium diet, and fluid restriction. Follow-up scheduled to monitor treatment response and assess for symptom improvement. Differential diagnosis included valvular heart disease and coronary artery disease, ruled out based on echocardiogram findings. ICD-10 code I11.0 for hypertensive heart disease with heart failure assigned. Medical billing codes for evaluation and management, echocardiography, and medication management documented. Prognosis discussed with patient, emphasizing the importance of lifestyle modifications and adherence to treatment regimen. Referral to cardiac rehabilitation considered.