Secondary hypertension
ICD-10 I15 is a used to indicate a diagnosis of secondary hypertension.
Secondary hypertension (I15) refers to high blood pressure that is a result of another underlying health condition. Unlike primary hypertension, which has no identifiable cause, secondary hypertension can be attributed to various factors, including kidney disease, endocrine disorders, and certain medications. Clinically, patients may present with elevated blood pressure readings, often exceeding 140/90 mmHg, alongside symptoms related to the underlying condition, such as headaches, fatigue, or visual disturbances. The anatomy involved primarily includes the cardiovascular system, particularly the heart and blood vessels, as well as the kidneys and endocrine glands that regulate blood pressure. Disease progression can vary significantly based on the underlying cause; for instance, renal artery stenosis may lead to worsening hypertension and potential heart failure if not addressed. Diagnostic considerations include a thorough patient history, physical examination, and targeted laboratory tests to identify the underlying cause, such as imaging studies or hormonal assays. Accurate diagnosis is crucial for effective management and treatment of secondary hypertension.
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
I15 encompasses hypertension secondary to conditions such as chronic kidney disease, Cushing's syndrome, hyperaldosteronism, and certain medications like oral contraceptives or NSAIDs. Each condition has specific diagnostic criteria that must be met for accurate coding.
I15 should be used when hypertension is directly attributable to an identifiable underlying condition. If hypertension is primary or idiopathic, then I10 should be selected. Clear documentation of the underlying cause is essential for appropriate code selection.
Documentation must include a comprehensive assessment of the patient's medical history, physical examination findings, and results from diagnostic tests that confirm the underlying condition causing hypertension. This may include lab results, imaging studies, and specialist consultations.
