Q: When do you code hypertension, hypertensive seriousness, HTN emergency situation or HTN crisis by the documentation? Like what high blood pressure readings constitute the various terms or other symptoms and signs that would accompany these types of hypertension?
A: First of all, you can not code off of blood pressure readings or the signs and symptoms and call it that. Hypertensive crisis. If they’re not recorded, you can’t pull those codes.
Coach Jennifer: So you code them because the company said the client remained in hypertensive crisis and that’s what he’s stating in his medical record, so then you can code hypertension crisis, which is I60… I just taught my class this last night. Let’s see. A couple off the top of my head however I can’t remember.
Coach Alicia: And the other thing is these are not going to happen in the physician’s workplace. And if they are, you’re on your to the ER. They should not be just tossed around as codes that you normally code. These are emergency situations.
Coach Jennifer: I do not have my ICD-10 in front of me. I think this have coding guidelines.
Coach Alicia: Oh, yeah, they do.
Coach Jennifer: There are coding guidelines for these hypertensive, so you have to go precisely what those coding guidelines state in order to supply.
Coach Alicia: It advises of the cancer codes. The other day there was a service provider that had actually coded that they were … it was an ENT and he was going to take something off of the mouth and it was a myelocele he stated however he coded it as a neoplasm of uncertain habits. He didn’t understand that since myelocele in fact has a code and it’s a cyst type of thing.
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http://medicalbillingcertificationprograms.org/medical-coding-for-hypertension/
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