Renovascular hypertension
ICD-10 I15.0 is a billable code used to indicate a diagnosis of renovascular hypertension.
Renovascular hypertension is a form of secondary hypertension caused by narrowing of the renal arteries, which can lead to decreased blood flow to the kidneys and subsequent activation of the renin-angiotensin-aldosterone system (RAAS). Clinically, patients may present with resistant hypertension, often requiring multiple antihypertensive medications to control blood pressure. The anatomy involved includes the renal arteries, which supply blood to the kidneys, and any stenosis or occlusion can significantly impact renal function and systemic blood pressure. Disease progression can lead to chronic kidney disease (CKD) if left untreated, as the kidneys are unable to adequately filter blood due to reduced perfusion. Diagnostic considerations include imaging studies such as Doppler ultrasound, CT angiography, or MR angiography to assess renal artery patency and blood flow. Laboratory tests may also be performed to evaluate kidney function and rule out other causes of 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
I15.0 specifically covers renovascular hypertension, which is primarily caused by renal artery stenosis. It may also include hypertension due to other vascular abnormalities affecting renal blood flow.
I15.0 should be used when hypertension is specifically due to renal artery involvement, as opposed to primary hypertension (I10) or hypertension due to other secondary causes like endocrine disorders.
Documentation should include a thorough clinical history, results from imaging studies confirming renal artery stenosis, and details of any interventions or treatments provided.
