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Home/Diagnosis/ICD-10 Coding for Elevated Risk Factors

ICD-10 Coding for Elevated Risk Factors

I11.0
E66.01

Complete ICD-10-CM coding and documentation guide for icd-10 coding for elevated risk factors includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Increased Risk Factors
High Risk Conditions
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Key Information: ICD-10 Coding for Elevated Risk Factors

Essential facts and insights about ICD-10 Coding for Elevated Risk Factors

Use ICD-10 code I11.0 for hypertensive heart disease with heart failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertensive heart disease with heart failure

Billable Code
I11.0
Billable

Diagnostic Criteria

  • • Presence of heart failure due to hypertension

Applicable To

  • • Hypertension with heart failure

Important Notes

  • • Sequence hypertension code first, followed by heart failure code.

Morbid (severe) obesity due to excess calories

Billable Code
E66.01
Billable

Diagnostic Criteria

  • • Documented BMI ≥ 40

Applicable To

  • • BMI ≥ 40

Important Notes

  • • Document BMI to support coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.22

Chronic systolic (congestive) heart failure

Use to specify type of heart failure.

Frequently Asked Questions

What are the ICD-10 codes for elevated risk factors?

ICD-10 codes for elevated risk factors include I11.0 for hypertensive heart disease with heart failure and E66.01 for morbid obesity.

How do you document hypertension with heart failure?

Document hypertension with heart failure by linking the conditions, e.g., 'heart failure due to hypertension,' and include clinical details like BP readings.

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