SYSTEMIC HYPERTENSION AND SCOPE OF HOMOEOPATHY
Dr. Smita Brahmachari
Abstract:
Hypertension (HTN) is an enormous health problem and is one of the biggest health challenges in the 21st century. Although the condition is common, readily detectable, and easily treatable, it is usually asymptomatic and often leads to lethal complications if left untreated. The prevalence of HTN is increasing rapidly in India driven by diverse health transitions. Apart from health implications it has huge societal, developmental and economic costs to resource constrained health systems, particularly developing nations like India. Further, hypertension is also a leading cause for hospitalizations and outpatient visits.
Reducing systolic and diastolic BP can decrease cardiovascular risk and this can be achieved by non-pharmacological (lifestyle measures) as well as pharmacological means (medicines). Homoeopathic system of medicine particularly individualized constitutional approach has significant beneficial effects on patients suffering from HTN and thus widely used in length and breadth of our nation as an alternative public health approach in curbing the increasing prevalence of HTN because of its cost effectiveness and minimal side effects.
In current scenario with rising burden of HTN posing a serious health threat to health care system of India, the present article makes a sincere attempt to present before its readers how to timely and effectively address a case of HTN at primary level health care set-up with homoeopathic medicines.
Author : The author has done her post-graduation from National Institute of Homoeopathy, Kolkata in the subject Homoeopathic Repertory. She is presently working as Medical Officer in Dept. of ISM &Homoeopathy under Govt. of NCT Delhi.
E-mail id: smita.brahmachari@rediffmail.com.
• Classification
o Primary
o Secondary
• Risk factors
• Causes
• Pathophysiology
• Management
• Treatment
o Lifestyle modification
o Medication protocols
• Essential health information
• Malignant hypertension p 675 /p 676
• Severe hypertension PCCM p 75
After attending this presentation audience will be able to:
•Define Blood pressure, Normal BP and Hypertension
•Classify Hypertension
•Enlist Predisposing factors of Hypertension
•Describe the consequences of Hypertension
•Explain/plan that how to avoid Hypertension
SYSTEMIC HYPERTENSION AND SCOPE OF HOMOEOPATHY
Dr. Smita Brahmachari
Abstract:
Hypertension (HTN) is an enormous health problem and is one of the biggest health challenges in the 21st century. Although the condition is common, readily detectable, and easily treatable, it is usually asymptomatic and often leads to lethal complications if left untreated. The prevalence of HTN is increasing rapidly in India driven by diverse health transitions. Apart from health implications it has huge societal, developmental and economic costs to resource constrained health systems, particularly developing nations like India. Further, hypertension is also a leading cause for hospitalizations and outpatient visits.
Reducing systolic and diastolic BP can decrease cardiovascular risk and this can be achieved by non-pharmacological (lifestyle measures) as well as pharmacological means (medicines). Homoeopathic system of medicine particularly individualized constitutional approach has significant beneficial effects on patients suffering from HTN and thus widely used in length and breadth of our nation as an alternative public health approach in curbing the increasing prevalence of HTN because of its cost effectiveness and minimal side effects.
In current scenario with rising burden of HTN posing a serious health threat to health care system of India, the present article makes a sincere attempt to present before its readers how to timely and effectively address a case of HTN at primary level health care set-up with homoeopathic medicines.
Author : The author has done her post-graduation from National Institute of Homoeopathy, Kolkata in the subject Homoeopathic Repertory. She is presently working as Medical Officer in Dept. of ISM &Homoeopathy under Govt. of NCT Delhi.
E-mail id: smita.brahmachari@rediffmail.com.
• Classification
o Primary
o Secondary
• Risk factors
• Causes
• Pathophysiology
• Management
• Treatment
o Lifestyle modification
o Medication protocols
• Essential health information
• Malignant hypertension p 675 /p 676
• Severe hypertension PCCM p 75
After attending this presentation audience will be able to:
•Define Blood pressure, Normal BP and Hypertension
•Classify Hypertension
•Enlist Predisposing factors of Hypertension
•Describe the consequences of Hypertension
•Explain/plan that how to avoid Hypertension
What is hypertension, Definition of hypertension, Classification of hypertension, pathophysiology of hypertension, Signs and symptoms of hypertension, Risk factors of hypertension, Causes of hypertension, Differential diagnosis of hypertension, Medications of hypertension, Different class of medications for hypertension, Patient education for hypertension
Case history
Definition & incidence of Hypertension
Classification of Hypertension
Diagnosis/ Confirmation of Hypertension
Technique of Hypertension Measurement
White coat Hypertension
Type of Hypertension
Suspicion of secondary hypertension
Management of Hypertension(Stage 1& 2)
Why treatment is necessary
Life style modification
Drug treatment of Hypertension
Rationalae of combination
Hypertension management in special situation/ with complications
HYPERTENSION introduction, recommendations for accurate measurements of BP, evaluation of patient with hypertension, management of patient with hypertension, resistant hypertension, hypertensive crisis, hypertensive emergencies
Global death causes & preventive strategyDeepikaHarish
The snapshot approaches to answer the
following problem statement, along with relevant data points, leads & outlining a potential healthcare framework which acts around preventive approach to combat the disease onset & progression
- What are top causes of death worldwide & their impact on
healthcare expenditure
- Is there any insightful characteristic/ common pattern
associated with these indications
- What can be potent lead to develop a strategy plan to
prevent the onset & progression of these disease indications
What is hypertension, Definition of hypertension, Classification of hypertension, pathophysiology of hypertension, Signs and symptoms of hypertension, Risk factors of hypertension, Causes of hypertension, Differential diagnosis of hypertension, Medications of hypertension, Different class of medications for hypertension, Patient education for hypertension
Case history
Definition & incidence of Hypertension
Classification of Hypertension
Diagnosis/ Confirmation of Hypertension
Technique of Hypertension Measurement
White coat Hypertension
Type of Hypertension
Suspicion of secondary hypertension
Management of Hypertension(Stage 1& 2)
Why treatment is necessary
Life style modification
Drug treatment of Hypertension
Rationalae of combination
Hypertension management in special situation/ with complications
HYPERTENSION introduction, recommendations for accurate measurements of BP, evaluation of patient with hypertension, management of patient with hypertension, resistant hypertension, hypertensive crisis, hypertensive emergencies
Global death causes & preventive strategyDeepikaHarish
The snapshot approaches to answer the
following problem statement, along with relevant data points, leads & outlining a potential healthcare framework which acts around preventive approach to combat the disease onset & progression
- What are top causes of death worldwide & their impact on
healthcare expenditure
- Is there any insightful characteristic/ common pattern
associated with these indications
- What can be potent lead to develop a strategy plan to
prevent the onset & progression of these disease indications
Overview presentation of Millennium HealthCare Inc., a company providing physician practices and healthcare facilities of all sizes with practice development & management services utilizing our expertise to identify medical practice opportunities.
Risk adjustment documentation and coding overviewScott Quick
A collection of information from publicly available sources to help you:
• Know what Risk Adjustment (RA) is and why it is important to Medicare Advantage providers
• Understand Hierarchical Condition Categories (HCCs)
• Become familiar with Risk Adjustment Documentation and Coding Requirements
2015 Report: Medicines in Development for Heart Disease & StrokePhRMA
According to the American Heart Association, someone in the United States dies from cardiovascular disease every 40 seconds, and more than 85 million Americans have at least one form of the disease. Heart disease has been the leading cause of death in the United States since 1921, but these numbers are declining. Read this report by PhRMA - in partnership with the Association of Black Cardiologists - on the nearly 200 medicines in development for heart disease & stroke.
The clinical case study of a patient with advanced COPD who has multiple comorbid conditions and develops sepsis provides the backdrop for two potential clinical pathways—sepsis and post-sepsis syndrome—and explores the natural history and indicators of poor prognosis in both conditions.
Hypertension management will change more in the next 5 years than in the last...Valencell, Inc
Why will managing hypertension change more in the next 5 years than it has in the last 100?
There are several macro trends that are driving this change:
- Hypertension is a massive global health problem (over 1B people have high BP) and it is THE leading risk factor for the global burden of disease (its a comorbidity in every major chronic disease) - more of a risk factor than tobacco, obesity, poor diet, high blood glucose, etc. - according to the WHO.
- Sensor tech - there has been no meaningful innovation in BP sensors in over 100 years. The BP cuffs in use today are fundamentally the same as the first BP cuff that came to market in the early 1900's. That’s changing now with cuffless BP sensors that are being approved by regulatory bodies.
- Care delivery – healthcare "has left the building", moving out of the hospital, into the home and everyday life. This can be seen in the huge growth in remote patient monitoring, digital therapeutics, and digital health more broadly.
- Payer models – insurance coverage is moving from fee-for-service to value-based care that’s focused on prevention and monitoring. This is particularly important in hypertension management because high BP has no outward symptoms, making the frequency and ease of BP monitoring extremely important.
Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications. Objectives 1. To assess the prevalence of hypertension and its associated factors and 2. to estimate awareness, treatment, and adequacy of control of hypertension among study subjects. According to the Joint National Committee 7 JNC7 , normal blood pressure is a systolic BP 120 mmHg and diastolic BP 80 mm Hg. Hypertension is defined as systolic BP level of =140 mmHg and or diastolic BP level = 90 mmHg. A number of factors increase BP, including 1 obesity, 2 insulin resistance, 3 high alcohol intake, 4 high salt intake in salt sensitive patients , 5 aging and perhaps 6 sedentary lifestyle, 7 stress, 8 low potassium intake, and 9 low calcium intake. Shweta Pawar | Sujit Kakde | Ashok Bhosale "A Review: Hypertension" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42416.pdf Paper URL: https://www.ijtsrd.commedicine/other/42416/a-review-hypertension/shweta-pawar
PREVENTION OF HEART PROBLEM USING ARTIFICIAL INTELLIGENCEijaia
Heart is the most important organ of a human body as it not only circulates oxygen and other vital
nutrients through blood to different parts of the body and helping in the metabolic activities but also
removes metabolic wastes. Thus, even a minor problem can affect the whole organism. Hence, researchers
are diverting a lot of data analysis work for assisting the doctors to predict the heart problem. So, an
analysis of the data related to different health problems and its functioning can help in predicting with a
certain probability for the wellness of this organ. In this paper we have analysed the different prescribed
data of patients from different parts of India. Using this data, we have built a model which gets trained
using this data and tries to predict whether a new out-of-sample data has a probability of having any heart
attack or not. This model can help in the decision making along with the doctor to treat the patient well and
creating a transparency between the doctor and the patient. In the validation set of the data, it’s not only
the accuracy that the model has to take care, rather the True Positive Rate and False-Negative Rate along
with the AUC-ROC helps in building/fixing the algorithm inside the model.
To reduce denials and ensure that clinicians are paid promptly and appropriately for patient care, accurate and compliant coding is essential.
To accurately report their services on claims, many clinicians are turning to professional medical coding services.https://www.outsourcestrategies.com/outsourced-medical-coding-services/
Accurate physical therapy (PT) billing is crucial for the success and sustainability of your
practice. Beyond simply ensuring proper reimbursement for services rendered, precise
billing practices can help maintain financial health, facilitate practice growth, and support
delivery of high-quality patient care.
Healthcare providers are finding it difficult to stay on top of changes in insurance policies, coding requirements, and regulations while still concentrating on
patient care.
Accurate medical billing documentation guarantees that insurance companies have all
the information they need to handle claims quickly, which speeds healthcare
reimbursement. Precise documentation in conjunction with expert medical billing
services foster a seamless financial environment that is advantageous to patients and
providers alike.
For healthcare providers looking to improve administrative efficiency, reduce overhead costs, enhance compliance, and focus on core activities, outsourcing medical billing could be the practical option.
Outsource Strategies International can help you speed up claims processing and optimize your revenue cycle by providing dedicated medical billing services.
Medical billing plays a crucial role in ensuring that healthcare providers receive timely and accurate reimbursement for the services they render. However, navigating the intricacies of medical billing can be challenging and mistakes can occur, leading to financial losses and potential compliance issues.
Meningitis, a devastating disease with a high fatality rate, can lead to serious long-term
complications. Physicians treating patients with the condition can consider to outsourcing medical billing and coding to report the condition correctly on claims. By enlisting the services of a professional medical coding company that employs AAPC-certified coding specialists, healthcare practices can ensure accurate and timely claim submission, leading to optimal reimbursement for
their services.
Patient eligibility verification is the process of confirming that a patient is eligible for the requested medical services, insurance coverage, and any financial assistance programs.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Affordable Stationery Printing Services in Jaipur | Navpack n PrintNavpack & Print
Looking for professional printing services in Jaipur? Navpack n Print offers high-quality and affordable stationery printing for all your business needs. Stand out with custom stationery designs and fast turnaround times. Contact us today for a quote!
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
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Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujarat’s DholeraAvirahi City Dholera
The Tata Group, a titan of Indian industry, is making waves with its advanced talks with Taiwanese chipmakers Powerchip Semiconductor Manufacturing Corporation (PSMC) and UMC Group. The goal? Establishing a cutting-edge semiconductor fabrication unit (fab) in Dholera, Gujarat. This isn’t just any project; it’s a potential game changer for India’s chipmaking aspirations and a boon for investors seeking promising residential projects in dholera sir.
Visit : https://www.avirahi.com/blog/tata-group-dials-taiwan-for-its-chipmaking-ambition-in-gujarats-dholera/
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...BBPMedia1
Grote partijen zijn al een tijdje onderweg met retail media. Ondertussen worden in dit domein ook de kansen zichtbaar voor andere spelers in de markt. Maar met die kansen ontstaan ook vragen: Zelf retail media worden of erop adverteren? In welke fase van de funnel past het en hoe integreer je het in een mediaplan? Wat is nu precies het verschil met marketplaces en Programmatic ads? In dit half uur beslechten we de dilemma's en krijg je antwoorden op wanneer het voor jou tijd is om de volgende stap te zetten.
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Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
2. www.outsourcestrategies.com 1-800-670-2809
Recorded as a major health problem (particularly among the elderly) in the
United States, hypertension occurs when your blood pressure increases to
unhealthy levels. An individual’s blood pressure measurement takes into
account how quickly blood is passing through your veins and the amount of
resistance the blood meets while it’s pumping. An article published in the
American Journal of Hypertension (April 2017) reports a rising trend in
hospitalization for hypertensive emergency with reduction in hospital
mortality during the last decade. Patients with acute cardio respiratory
failure, chest pain, stroke, acute chest pain, or aortic dissection were at the
most risk of higher hospital mortality among other complications.
Hypertension is a major contributor for heart disease and other medical
problems. Furthermore, hypertension is often accompanied by co-morbid
conditions such as diabetes mellitus, kidney damage, arteriosclerosis,
obesity, CKD-3, and systolic dysfunction which complicate the treatment for
blood pressure. The problem with this epidemic is very clear, untreated
blood pressure often leads to multiple target organ complications. According
to the research findings from the University of Miami Miller School Of
Medicine, approximately 80 percent of first strokes are a consequence of
preventable risk factors such as hypertension. Since the management of
hypertension is challenging, it is vital to identify and treat blood pressure
appropriately. It is very important for physicians to report this condition
correctly with the right diagnosis codes. Medical coding companies should
ensure correct coding of hypertension to track patients that require
immediate treatment for this chronic medical condition.
Financial Payment System - Transition
MACRA (Medicare Access and CHIP Reauthorization Act) — a Merit-based
Incentive Payment System (MIPS) - primarily links physician reimbursement
to quality of care rather than the volume of services. It is expected that this
3. www.outsourcestrategies.com 1-800-670-2809
focus on quality will considerably improve efficiency and patient outcomes
while reducing total costs. There are many potential factors that determine
payment under MACRA, but the main theme is how effective and accurate
the provider can be in the diagnosis, management and reporting of patient
care. Whether it is hypertension or any other medical condition, there will be
more potential for that provider to receive higher revenue. This represents a
unique transition from the “fee-for-service reimbursement model” to a more
“quality based Merit-Based" formula. In other words, quality replaces
quantity.
The participating providers will need to report six quality measures
contributing to their overall “Quality score”. Controlling the incidence of
hypertension in patient population is one of the prominent ways to
demonstrate quality. Hypertension is reported as a “high priority measure”
that offers healthcare providers the opportunity to accumulate additional
bonus points (that adds up to their overall score). Since quality is the most
significant contributor to the MIPS Composite Performance Score, the impact
of these bonus points can be financially significant.
Hierarchical Condition Category (HCC) Rating
In simple terms, Hierarchical Condition Category (HCC) value rating is a year
to year estimation of how much the care of an individual should cost, which
in turn may affect reimbursement for that particular service. The more
accurate the HCC value, the better a healthcare practice can ensure
appropriate and fair reimbursement for the care that the patient requires
over time.
There are other benefits of promoting accurate documentation of
hypertension when elevated blood pressure is present with other co-
morbidities. These may mainly include – hypersensitive chronic kidney
disease (stages 1-4) and ESRD and hypersensitive heart disease
4. www.outsourcestrategies.com 1-800-670-2809
with/without heart failure. Such co-morbidities affect how hypertension as a
diagnosis needs to be accurately coded and also play a role in a provider's
HCC rating. Accurate calculation of HCC rating by the correct coding of
hypertensive disease also ensures a positive payment adjustment from
payers participating in this diagnosis-based risk adjustment model.
Coding for Hypertension
In ICD-10, there is only a single code for primary hypertension without co-
morbid heart or kidney disease-
I10: Essential (primary) hypertension
However, when hypertension condition is diagnosed in combination with
other conditions such as heart failure, chronic kidney disease (CKD) or heart
disease – the codes essentially change. The accurate coding of hypertensive
diseases may significantly affect HCC values – as this will determine proper
and fair reimbursement from participating payers. The more accurate
diagnosis code selection will lead to more accurate reimbursement rates.
Hypertension and Associated Conditions
If a patient suffering from hypertension is confirmed to have co-morbid
heart and/or kidney disease, it should be reported using ICD-10 codes in the
following manner –
Hypertension and Heart Disease
This category is divided into malignant, benign, and unspecified essential
hypertension with or without heart failure. There are only two codes for the
same condition in ICD-10 such as -
I11.0 - Hypertensive heart disease with heart failure
I11.9 - Hypertensive heart disease without heart failure
5. www.outsourcestrategies.com 1-800-670-2809
Hypertension and Chronic Kidney Disease
If a person suffering from hypertension further develops chronic kidney
disease, ICD-10 will regard that condition as hypertensive chronic kidney
disease. However, if the chronic kidney disease comes first and then the
combination, their codes fall under the secondary hypertension codes. In the
case of hypertensive kidney disease, ICD-10 requires specifying the stage of
the kidney disease and thereby distinguishes stage 5 from end-stage renal
disease by the need of chronic dialysis.
I12.0 - Hypertensive chronic kidney disease with stage 5 chronic
kidney disease (CKD) or end-stage renal disease (ESRD)
I12.9 - Hypertensive chronic kidney disease with stage 1 through 4
chronic kidney disease (CKD) or unspecified chronic kidney disease
(CKD)
Both these codes require an additional N18 code to specify the stage of
kidney disease –
N18.1 - Chronic kidney disease, stage 1
N18.2 - Chronic kidney disease, stage 2 (mild)
N18.3 - Chronic kidney disease, stage 3 (moderate)
N18.4 - Chronic kidney disease, stage 4 (severe)
N18.5 - Chronic kidney disease, stage 5
N18.6 - End-stage renal disease
N18.9 - Chronic kidney disease, unspecified
Hypertension, Heart Disease and Chronic Kidney Disease
The ICD-10 codes for the three-disease combination ((if the patient has all
the 3 conditions - hypertension, heart disease and chronic kidney disease)
are primarily classified according to the degree of chronic kidney disease
rather than the presence or absence of heart failure –
6. www.outsourcestrategies.com 1-800-670-2809
I13.0 - Hypertensive heart and chronic kidney disease with heart
failure and with stage 1 through 4 chronic kidney disease, or
unspecified chronic kidney disease
I13.2 - Hypertensive heart and chronic kidney disease with heart
failure and with stage 5 chronic kidney disease, or end-stage renal
disease
I13.10 - Hypertensive heart and chronic kidney disease without heart
failure with stage 1 through stage 4 chronic kidney disease, or
unspecified chronic kidney disease
I13.11 - Hypertensive heart and chronic kidney disease without heart
failure and with stage 5 chronic kidney disease, or end-stage renal
disease
As mentioned above, the two-disease combination codes require additional
codes from the N18 series to specify the different stages of kidney disease.
Tobacco Use or Exposure in Individuals with Hypertensive Diseases
All of the hypertension codes require an additional ICD-10 code if the patient
is a current or former tobacco user. The codes include -
F17 - Nicotine dependence
F17.20 - Unspecified
F17.21 - Cigarettes
F17.22 - Chewing tobacco
F17.29 - Other tobacco product
Each of these four categories requires a sixth character –
0 – uncomplicated
1 – in remission
7. www.outsourcestrategies.com 1-800-670-2809
3 – with withdrawal
8 – with other specified nicotine-induced disorder
9 – with unspecified nicotine-induced disorder
On the other hand, if occupational and environmental exposure to tobacco is
influencing the health status of your patient, the following ICD-10 codes
must be used -
Z57.31- Occupational exposure to environmental tobacco smoke
Z72.0 - Problems related to lifestyle, tobacco use
Z77.22 - Exposure to environmental tobacco smoke (includes second-
hand smoke exposure and passive smoking)
Z87.891- Personal history of nicotine dependence
Secondary Hypertension
In cases of patients having hypertension secondary to other diseases, the
above mentioned ICD-10 codes are not used. The secondary hypertension
codes used in such a situation include -
I15.0 - Renovascular hypertension
I15.1 - Hypertension secondary to other renal disorders
I15.2 - Hypertension secondary to endocrine disorders
I15.8 - Other secondary hypertension
I15.9 - Secondary hypertension, unspecified
Reports from the Centers for Disease Control and Prevention (CDC, 2016
statistics) suggest that about 75 million American adults (29%) have high
blood pressure—that is 1 out of every 3 adults. Hypertension, being one of
the chronic health conditions, is a major risk factor for heart disease and
other medical problems. Most people with high blood pressure have no signs
or symptoms, even if blood pressure readings reach dangerously high levels.
Regular blood pressure readings can help you to detect this condition early.
8. www.outsourcestrategies.com 1-800-670-2809
Treatment for hypertension includes both prescription medication and
healthy lifestyle changes. Healthcare providers can focus on the
management of hypertensive conditions, while their partnering medical
coding service providers ensure accurate reporting of the condition to meet
CMS guidelines.