In the guideline for hypertension with heart disease, category I50, Heart failure, is included in the list of heart conditions that are classified as hypertensive heart disease, but it is not included in the Alphabetic Index nor Tabular List. Is congestive heart failure (CHF) in a patient with hypertension coded as hypertensive heart disease with failure, when the provider’s documentation has not explicitly linked the two conditions?
Assign code I11.0, Hypertensive heart disease, with failure, along with the appropriate code from category I50, Heart failure, for CHF in a patient with hypertension. The classification presumes a causal relationship between hypertension and heart involvement unless the provider documents that the conditions are unrelated.
Although heart failure is not in the list of heart conditions in the inclusion note, in ICD-10-CM, there is a note instructing “Use additional code to identify type of heart failure” in the Tabular List. The code range under category I11, Hypertensive heart failure, is not intended to be an all-inclusive list. The range of heart conditions in the Alphabetic Index and Tabular List will be considered for future modification through the Coordination and Maintenance Committee.