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A 55 year patient has malignant hypertensive heart disease with congestive heart failure. What codes would be assigned? (Select all that apply.)

-402.91, Hypertensive heart disease, unspecified with heart failure
-402.01, Hypertensive heart disease, malignant with heart failure
-428.0, Congestive heart failure, unspecified
-585.6, End-stage renal disease
-405.91, Secondary hypertension, unspecified
-585.5, Chronic kidney disease, stage V

User Locoyou
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1 Answer

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Final answer:

The correct ICD codes for a patient with malignant hypertensive heart disease with congestive heart failure are 402.01 and 428.0. Code 402.01 specifies malignant hypertensive heart disease with heart failure, while code 428.0 refers to unspecified congestive heart failure.

Step-by-step explanation:

The patient described in the question has been diagnosed with malignant hypertensive heart disease with congestive heart failure. To code this condition correctly in a medical setting, the appropriate codes from the International Classification of Diseases (ICD) must be selected. According to the details provided, the codes that would be assigned are:

402.01, Hypertensive heart disease, malignant with heart failure

428.0, Congestive heart failure, unspecified

The first code (402.01) addresses the specific nature of the hypertensive heart disease as malignant and accompanied by heart failure, which aligns with the patient's diagnosis. The second code (428.0) covers the aspect of congestive heart failure without specifying a particular type. It is not clear if the patient also has kidney issues related to the hypertension, which would influence the selection of further codes concerning kidney diseases.

Hypertension is known to exert additional stress on the heart, potentially leading to hypertrophy and eventual heart failure. A cardiologist would likely manage the patient's condition, considering heart disease is a significant health concern.

User Drmanitoba
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