ICD Guidelines Ch. 9 Diseases of the Circulatory System

Question 1

This can ONLY be coded together when the Dr. links the two as due to HTN or implied hypertensive

Answer 1

HTN w/ Heart Disease

Question 2

When HTN & Heart disease aren’t linked

Answer 2

code them separately

Question 3

HTN w/ CKD is a cause and effect relationship & whenever documented it’s

Answer 3

coded the smae NOT LINKED

Question 4

HTN Heart Disease & CKD are coded

Answer 4

when documented

Question 5

Code the Heart Failure and CKD as

Answer 5

additional codes

Should be 3 codes

Question 6

A casual relationship can be assumed in a pt. w/ both atherosclerosis & angina

Answer 6

unless documentation indicates the angina is due to something else

Question 7

AMI happens within

Answer 7

4 Weeks or 28 days

Question 8

AMI is considered old after

Answer 8

4 weeks or 28 days

Question 9

Subsequent AMI can be coded when it happens within 4 weeks of the

Answer 9

1st one. The sequencing depends on documentation

Question 10

Hypertension uses the same code

Essential, Malignant, Benign,

Answer 10

Sequencing 1st- I10

Question 11

Hypertension in the setting of Heart Disease Dr. DOES NOT have to Link DX

Answer 11

1st- I11

2nd- I50.- or I51.4- I51.9 (specify Heart Failure)

Question 12

Hypertensive Chronic Kidney Disease Dr. DOES NOT have to LINK DX

Answer 12

1st- I12

2nd- N18 ( To identify the Stage)

Question 13

Hypertensive Heart & Chronic Kidney Disease Dr. does not have to link DX

Answer 13

1st- I13
2nd- I50 (specify the heart faliure)
3rd- N18 ( to identify the stage)

Question 14

Dr. MUST specify the DX in Hypertension and

Answer 14

Cerebrovascular disease

Question 15

Hypertension Cerebrovascular disease

Answer 15

1st- I60- I69

2nd- HTN code

Question 16

Hypertensive Retinopathy

Answer 16

1st- I10 or H35.0

sequence w/ the reason for the encounter (RFE)

Question 17

Secondary HTN is do to an underlying condition. Two codes are rquired. One for the cause, and one for the hypertension

Answer 17

1st- I15 or the Underlying condition

sequence w/ the RFE

Question 18

Elevated blood pressure

ex: white coat syndrome

Answer 18

1st- RO3.0

Question 19

HTN controlled by therapy

Answer 19

Hypertension controlled

1st- I10-I15

Question 20

HTN not responding to therapy

Answer 20

Hypertension uncontrolled

1st- I10-I15

Question 21

Document for HTN crisis, & use a code to identify the type of HTN

Answer 21

1st- I16, I10- I15 (sequence events)

Question 22

Code pulmonary HTN, Code associated conditions or adverse effects of drugs and toxins.

Answer 22

1st- I27 (other pulmonary HTN)
2nd- I27.1, I27.2- (secondary HTN)
3rd- asociated conditions, or adverse effects of drug/ toxins sequence in reason for encounter

Question 23

Ch. 15 During pregnancy (gestational HTN or Preclampsia

Answer 23

1st- O13 for gestational HTN and O14 for preclampsia

Question 24

Atherosclerotic Coronary Artery disease ASHD & Angina

Answer 24

combo code w/ angina pectoris
1st- I25.11 (Native coronary artery) or
I25.7 (bypass grafts)

Question 25

AMI in ASHD- pt. admitted due to AMI

Answer 25

1st-AMI | 2nd-I25.11 (CAD) coronary heart disease

Question 26

Acute Myocardial infarction

Answer 26

AMI- unspecified | 1st-I21.9

Question 27

The segment is flat, isoelectric section of the EKG, typically it's elevated

Answer 27

ST Elavation Myocardial infarction (STEMI) -Type 1

Question 28

STEMI-Type 1

Answer 28

1st- I21.0- I21.2 or I21.3- be sure to specify the site of the infection

Question 29

The NON ST segment is when the isoelectric section is depressed or below the lead

Answer 29

Non ST Elavation myocardial infarction (NSTEMI)- Type 1 | 1st-I21.4

Question 30

If DX as non transmural or subendocardial and the site of the infarction is provided code as

Answer 30

Subendocardial AMI | 1st- I21.4

Question 31

If a type 1 NSTEMI evolves to a STEMI code the

Answer 31

STEMI

Question 32

If a type 1 STEMI converts to a NSTEMI due to thrombolytic therapy code the

Answer 32

STEMI

Question 33

ONLY the STEMI and the transmural MI without a dx site

Answer 33

Type 1 AMI- unspecified

Question 34

Use I22 for subsequent

Answer 34

type 1 AMI

Question 35

other types of AMI/ Type 3, 4a, 4b, 4c, & 5

Answer 35

1st- I21.A9 (other AMI type)