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

Comments

  • edited May 2016
    One should always ask oneself whether a documented diagnosis is actually
    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.” 
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