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Adult HypertensionHypertensive Crisis I16.9 (CC): SBP ≥ 180 mm Hg or DBP ≥ 110 mm Hg used to describe either hypertensive emergency (CC) or hypertensive urgency (non-CC)Hypertensive Urgency I16.0 (non-CC): SBP ≥ 180 mm Hg or DBP ≥ 110 mm Hg without end-organ involvement.Symptoms include headache, dyspnea or chest painBlood pressure must be reduced in a few hours to days.Treatment – oral antihypertensives (e.g., Atenolol, Lopressor, Lisinopril, etc.).Hypertensive Emergency I16.1 (CC): SBP ≥ 180 mm Hg or DBP ≥ 110 mm Hg with end-organ involvement.Blood pressure must be reduced immediately.Treatment – IV antihypertensives (e.g., Lopressor, Hydralazine, Labetalol, Nicardipine, Nitroprusside, etc.,) or oral ClonidineEnd-organ involvement may include:Cardiac: heart failure, unstable angina, myocardial infarctionNeurologic: hypertensive encephalopathy, seizure, stroke, brain hemorrhageRenal: acute kidney injuryCoding ConsiderationsHypertensive crisis (I16.-) code also noteIdentified hypertensive disease (I10 – I15: I10 Essential hypertension, I11 Hypertensive heart disease, I12 Hypertensive chronic kidney disease, I13 Hypertensive heart and chronic kidney disease and I15 Secondary hypertension)Code also note – two codes may be required to fully describe a conditionSequencing depends on the circumstances of the encounterReferences:ICD-10-CM Official Guidelines for Coding and Reporting FY 2018 page. 13Paul E. Marik and Racquel Rivera. Hypertensive emergencies: an update. Current Opinion in Critical Care 2011, 17:569–580Sutters M. Sutters M Sutters, Michael.Systemic Hypertension. In: Papadakis MA, McPhee SJ, Rabow MW. Papadakis M.A., McPhee S.J., Rabow M.W. Eds. Maxine A. Papadakis, et al.eds. Current Medical Diagnosis & Treatment 2017. New York, NY: McGraw-Hill; 2016. . Accessed December 05, 2016.Pinson, R.D. and Tang, C. L. (2017). 2018 CDI Pocket Guide. (p. 105 – 106). Danvers, MA: HCPro ................
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