ICD-10 Coding for Secondary Hypertension(I15.0, I15.1, I15.2)
Complete ICD-10-CM coding and documentation guide for Secondary Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Secondary Hypertension
I15Primary Range
Secondary hypertension
This range includes all codes related to hypertension caused by an identifiable underlying condition.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I15.0 | Renovascular hypertension | Use when hypertension is due to renal artery stenosis. |
|
| I15.1 | Hypertension secondary to other renal disorders | Use when hypertension is due to a specific renal disorder other than stenosis. |
|
| I15.2 | Hypertension secondary to endocrine disorders | Use when hypertension is due to an endocrine disorder. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for secondary hypertension
Essential facts and insights about Secondary Hypertension
Primary ICD-10-CM Codes for secondary hypertension
Decision Criteria
clinical Criteria
- Presence of renal artery stenosis confirmed by imaging
Applicable To
- Hypertension due to renal artery stenosis
Excludes
- Essential hypertension (I10)
Clinical Validation Requirements
- Renal artery stenosis >70% on angiography
- BP >140/90 with abdominal bruit
Code-Specific Risks
- Incorrectly coding as essential hypertension
Coding Notes
- Ensure documentation specifies the cause of hypertension.
I15.1 - Hypertension secondary to other renal disorders
Use when hypertension is due to a specific renal disorder other than stenosis.
Applicable To
- Hypertension due to glomerulonephritis
Excludes
- Essential hypertension (I10)
Clinical Validation Requirements
- Documented renal disorder causing hypertension
Coding Notes
Ensure documentation specifies the renal disorder causing hypertension.
I15.2 - Hypertension secondary to endocrine disorders
Use when hypertension is due to an endocrine disorder.
Applicable To
- Hypertension due to primary hyperaldosteronism
Excludes
- Essential hypertension (I10)
Clinical Validation Requirements
- Elevated aldosterone/renin ratio
- Hypokalemia
Coding Notes
Ensure documentation specifies the endocrine disorder causing hypertension.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Secondary Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I15.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of the patient's condition., Use specific ICD-10 codes that reflect the underlying cause.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and research.
Mitigation Strategy
Ensure documentation specifies the underlying cause of hypertension.
Impact
Risk of coding secondary hypertension as primary due to lack of documentation.
Mitigation Strategy
Ensure all documentation specifies the underlying cause of hypertension.
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 Secondary Hypertension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Secondary Hypertension
Use these documentation templates to ensure complete and accurate documentation for Secondary Hypertension. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Subjective: Patient's symptoms and history
- Objective: Vital signs, lab results, imaging
- Assessment: Diagnosis with ICD-10 codes
- Plan: Treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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