404.0x is Different From I13.- in Use of Malignant and Benign

AS far as benign lesions are concerned, numbers matters instead of size.
ICD-10-CM reduces your code choices from 12 to 4 codes for hypertensive heart as well as CKD.

You can look ahead to ICD-10-CM to provide you with combination codes for definite chronic conditions as ICD-9-CM does, but that doesn't imply that the code definitions will be exactly the same. Read this article for accurate and error-free medical coding when ICD-9 to ICD-10 transition takes place.

To see a realistic example, re-examine the codes below, which you assign when a patient is suffering from hypertensive heart disease (documentation indicates hypertension causes heart disease) as well as hypertensive chronic kidney disease (hypertension with chronic kidney disease [CKD] even though no relationship is indicated in the documentation).

ICD-9 medical coding rules: The terms "benign" and "malignant" are present in the ICD-9 hypertensive heart disease codes. While the physician doesn't document benign or malignant, you should select an "unspecified" code.

In addition, you must report the heart failure type (428.x), if identified and the CKD stage (585.x) as secondary codes.

The ICD-9 codes include:

404.0x (Hypertensive heart and chronic kidney disease; malignant)
404.1x ( ... benign)
404.9x ( ... unspecified)

ICD-9 fifth digit options are listed as following:
0 (without heart failure and with chronic kidney disease stage I through stage IV, or unspecified)
1 (with heart failure and with chronic kidney disease stage I through stage IV, or unspecified)
2 ( without heart failure and with chronic kidney disease stage v or end stage renal disease)
3 (with heart failure and with chronic kidney disease stage v or end stage renal disease)

ICD-9 to ICD-10 changes: You'll see a change from 12 ICD-9 options to four ICD-10 options. This is owing to the fact that under ICD-10 you won't have to differentiate between "benign" and "malignant."

ICD-10 2011 codes include:
I13.0 (Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease)
I13.10 (Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease)
I13.11 (Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease)
I13.2 (Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease)
ICD-9 to ICD-10 transition tip: In case you've found a method of tell the team to code heart failure and CKD types besides 404.xx codes, stick with it and apply it to I13.- when ICD-9 to ICD-10 transition goes into effect. Moreover, let the coding team know that in case the documentation doesn't talk about heart failure or the stage of CKD, the suitable code will be I13.10.

Whether it's a powerful code reference tool, a real-time claims auditor to help you reduce denials or step-by-step guidance from CPC certified experts, we've got you covered. Some of our unique products provide you the update information on ICD-9 and HCPCS codes , the ammunition you need to get instant success.