Hypertensive crisis
ICD-10 I16 is a used to indicate a diagnosis of hypertensive crisis.
Hypertensive crisis refers to a severe increase in blood pressure that can lead to significant health complications. Clinically, it is categorized into two types: hypertensive urgency and hypertensive emergency. In hypertensive urgency, blood pressure readings exceed 180/120 mmHg without acute end-organ damage, while hypertensive emergency involves similar blood pressure levels with evidence of acute damage to organs such as the heart, kidneys, or brain. The cardiovascular system is primarily affected, with potential consequences including myocardial infarction, stroke, and acute heart failure. The disease progression can be rapid, necessitating immediate medical intervention to prevent irreversible damage. Diagnostic considerations include a thorough assessment of blood pressure readings, patient history, and evaluation of symptoms such as headache, visual disturbances, or chest pain. Laboratory tests may be required to assess organ function and rule out complications. Effective management often involves both pharmacological and non-pharmacological strategies to stabilize blood pressure and address underlying causes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I16 covers hypertensive crisis, which includes both hypertensive urgency and hypertensive emergency. It is characterized by severely elevated blood pressure and potential acute end-organ damage.
I16 should be used when a patient presents with severely elevated blood pressure and either shows signs of acute organ damage (hypertensive emergency) or has high blood pressure without acute damage (hypertensive urgency). Proper assessment and documentation are critical for accurate coding.
Documentation for I16 should include detailed blood pressure readings, clinical symptoms, assessment of organ function, and any interventions performed. Evidence of acute organ damage must be clearly documented for cases classified as hypertensive emergency.
