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hypertension and chronic venous hypertenstion

Melissa Posted Mon 14th of January, 2013 17:11:24 PM

I have a physician that will either put on his encounter from this is the first scenario chronic venous hypertention then lets say DM then he will write HTN. or Mixed venous ulcer then lets say PVD then HTN. Are the two HTN's the same do I code for example the first one as 459.30 then the Dm then 401.9 for HTN again? same thing for the second scenario? Thanks

SuperCoder Answered Tue 15th of January, 2013 22:30:25 PM

Hi,

I am forwarding this query to my editor. You will hear from him soon. Thanks for being patient.

SuperCoder Answered Wed 16th of January, 2013 08:53:11 AM

For first case, "chronic venous hypertention then lets say DM then he will write HTN" --> You need to code only 459.30 (chronic venous hypertention) and then DM code (250.xx). No need to code 401.9 separately.

For 2nd case -->
Mixed venous ulcer - 707.8 (no other nearer code)
PVD - 443.9
HTN - 401.9 (no combo code since none of the conditions is linked with HTN).

A condition, when linked with HTN, can definitely be coded as "hypertensive condition" and a combo code can be used. But if a HTN and that condition are not linked together by the physician (as "hypertensive" or as "due to HTN") then you need to read the ICD guidelines (7.a) at beginning of the ICD manual to know how to code.

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