ICD-10 Coding for Hypertensive Encephalopathy(I67.4)
Complete ICD-10-CM coding and documentation guide for Hypertensive Encephalopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertensive Encephalopathy
I60-I69Primary Range
Cerebrovascular diseases
This range includes codes for cerebrovascular conditions, with I67.4 specifically for hypertensive encephalopathy.
Key Information: ICD-10 code for hypertensive encephalopathy
Essential facts and insights about Hypertensive Encephalopathy
Primary ICD-10-CM Code for hypertensive encephalopathy
Decision Criteria
clinical Criteria
- Presence of acute neurological symptoms with elevated BP
documentation Criteria
- Explicit mention of 'hypertensive encephalopathy' in medical records
Applicable To
- Acute hypertensive encephalopathy
Excludes
- G93.40 (Encephalopathy, unspecified)
Clinical Validation Requirements
- BP ≥ 180/120 mmHg
- Neurological findings such as confusion or visual disturbances
- MRI showing vasogenic edema in brainstem or parieto-occipital regions
Code-Specific Risks
- Incorrectly using G93.40 instead of I67.4
- Missing documentation linking hypertension to encephalopathy
Coding Notes
- Ensure documentation explicitly states 'hypertensive encephalopathy' with supporting clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypertensive emergency
I16.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertensive Encephalopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I67.4.
Impact
Clinical: Misdiagnosis risk, Regulatory: Potential audit trigger, Financial: Reduced reimbursement
Mitigation Strategy
Ensure clear documentation of BP readings and neurological symptoms, Use templates to guide documentation
Impact
Reimbursement: Lower reimbursement if incorrect code is used., Compliance: Risk of audit due to incorrect coding., Data Quality: Inaccurate data on hypertensive conditions.
Mitigation Strategy
Always use I67.4 when hypertension is the cause of encephalopathy.
Impact
Inadequate documentation linking hypertension to encephalopathy.
Mitigation Strategy
Use structured templates and ensure clear linkage in 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 Hypertensive Encephalopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertensive Encephalopathy
Use these documentation templates to ensure complete and accurate documentation for Hypertensive Encephalopathy. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Blood pressure readings
- Neurological examination findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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