ICD-10 Coding for Essential Hypertension(I10)
Complete ICD-10-CM coding and documentation guide for Essential Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Essential Hypertension
I10-I16Primary Range
Hypertensive diseases
This range includes all codes related to hypertension, including essential hypertension and its complications.
Key Information: ICD-10 code for essential hypertension
Essential facts and insights about Essential Hypertension
Primary ICD-10-CM Code for essential hypertension
Decision Criteria
clinical Criteria
- Two separate elevated BP measurements ≥140/90 mmHg
coding Criteria
- Exclusion of secondary hypertension causes
Applicable To
- High blood pressure
- Hypertension
Clinical Validation Requirements
- Two separate elevated BP measurements ≥140/90 mmHg
- Exclusion of secondary causes
Code-Specific Risks
- Incorrectly using I10 for a single elevated reading
Coding Notes
- Ensure documentation specifies 'essential hypertension' or 'primary hypertension'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Elevated blood-pressure reading, without diagnosis of hypertension
R03.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Essential Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I10.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terminology like 'essential hypertension'., Ensure documentation reflects clinical guidelines.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use R03.0 for elevated BP without a diagnosis.
Impact
Incorrect use of I10 when organ damage is present.
Mitigation Strategy
Educate providers on correct code usage and documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Essential Hypertension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Essential Hypertension
Use these documentation templates to ensure complete and accurate documentation for Essential Hypertension. These templates include all required elements for proper coding and billing.
Primary Care Visit for Hypertension Management
Specialty: Primary CareRequired Elements
- Patient history
- BP readings
- Comorbidities
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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