accelerated HTN dx and treatment
I have noted the comments re accelerated HTN and malignant htn. I have been aware that they are "cc". My question is... how many BP need to be in the range of this DX? I have a physician writing this with one maybe two elevated BP's over the course of visit. No additional Rx. No medication intervention specfic to the RX of the bp. No follow up Bp for hours. I am hesitant to use this as a cc and have been given a Rac audit to review which it was indeed used. as the only cc. I'd appreciate any thoughts
Diane Arneson RN BSN CCDS
Diane Arneson RN BSN CCDS
Comments
a reportable diagnosis (below). Doesn't sound like it meets the
criteria and thus likely should not be reported.
Don
From ICD-9-CM Official Guidelines for Coding and Reporting, Effective
October 1, 2010:
"For reporting purposes the definition for “other diagnoses” is
interpreted as additional conditions that affect patient care in terms
of requiring:
clinical evaluation; or
therapeutic treatment; or
diagnostic procedures; or
extended length of hospital stay; or
increased nursing care and/or monitoring
The UHDDS item #11-b defines Other Diagnoses as “all conditions that
coexist at the time of admission, that develop subsequently, or that
affect the treatment received and/or the length of stay. Diagnoses that
relate to an earlier episode which have no bearing on the current
hospital stay are to be excluded.”