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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor

Takotsubo Syndrome with Hypertension

A patient with hypertension is admitted due to suspected acute coronary syndrome. The provider’s final diagnostic statement listed, “Takotsubo syndrome and hypertension.” Based on the guideline regarding hypertension with heart disease and the Tabular list, it appears that code I11.9, Hypertensive heart disease without heart failure, is appropriate since the provider has not indicated a different cause for the Takotsubo syndrome. Additionally, based on the Excludes1 note found at category I51-, Complications and ill-defined descriptions of heart disease, it appears that Takotsubo Syndrome must be coded as hypertensive. Providers at our facility are concerned that code I11.9 does not fully capture the patient’s condition, nor the severity of the case. What is the appropriate code assignment for Takotsubo syndrome with hypertension?  ...

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