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Test your knowledge of ICD-10 coding and documentation requirements for five diagnoses you're likely to encounter in family medicine.
Understanding the power of quality data and then starting with a few specific measures leads to improved blood pressure rates.
In ICD-10, hypertension has a limited number of codes that, on the surface, may appear to make coding this condition relatively simple, at least compared to some of the other ICD-10 complexities. There are only nine codes for primary hypertension and five codes for secondary hypertension. However, as is often the case, the devil is in the details. For example, ICD-10 assumes a causal relationship between hypertension and chronic kidney disease, but you must document the relationship between hypertension and heart disease. Additionally, all of the hypertension codes require an additional code if the patient is a current or former tobacco user. If hypertension is secondary to another disease state, code the underlying condition as well as one of the secondary hypertension codes.
The article offers an evidence-based approach to the diagnosis and treatment of hypertension, based on the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), and includes an encounter form to aid physicians in providing care consistent with the JNC 7 guidelines.