Accelerated HTN

Unknown

I know there is a difference between Accelerated HTN and Malignant HTN. I would like to develop a query for Accelerated HTN that includes the correct criteria with a good reference. There are occasions when patients recieve IV anti-hypertensive medications to prevent organ damage without cerebral damage or papilledeman. They have chest pain/angina. I do know that Accelerated/Malignant HTN code the same. Any ideas?

vanessa.falkoff

We changed our query to separate accelerated and malignant HTN into two categories based on feedback from the residents, (see attached) and the response rate improved dramatically!
Now we try to get feedback from physicians regarding all our queries

Vanessa Falkoff RN
Clinical Documentation Coordinator
University Medical Center
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
cell 702-204-0054

katysuegood@gmail.com

This is what we use.

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

laura.bohls@prairielakes.com

I'm confused. I understand there is a difference between accelerated and malignant hypertension, but when I run them through the encoder it gives me the same code.

Laura Bohls, RN CDS
Prairie Lakes Hospital

katysuegood@gmail.com

Yes, they both will give you the same code, an CC. But when the MD has only stated it as uncontrolled Hypertention, hypertensive urgency, or hypertensive emergency and the clinical indicators are there to support greater severity, we query for the specificity of accelerated or malignant.

Does that makes sense?

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

Unknown

It does code out the same. They are different though-in severity.

Mary L. Snook RN-BC
Clinical Documentation Specialist
Medical Information Services

Unknown

Yes I do that to but I would like to make a printed query. At this point in time it is a hand written query with no reference and the Physicians always think of malignant HTN and that their patient is not that ill. I do understand what you are saying.

Mary L. Snook RN-BC
Clinical Documentation Specialist
Medical Information Services

Unknown

Thanks for your help and your query form.

Unknown

Thanks for your query form. Yes I know it is a CC. I am having a difficult time getting physicians to document the difference. I appreciate your help.