1. Hypertension Column 1 – type of hypertensive condition
Columns 2-4 – Malignant, Benign, Unspecified
Hypertensive Heart Disease – secondary to sustained systemic hypertension
Types of hypertension having their own codes:
essential or NOS
with heart disease
kidney disease and chronic kidney disease
heart and chronic kidney disease
cerebrovascular disease
retinopathy
secondary
transient
controlled/uncontrolled
elevated blood pressure

2. Diagnostic Tools Diagnostic uncertainty leads to multiple tests
EKG, MRI, CT scan, Blood tests, biopsies
Some diagnoses need specific site codes
example: Acute Myocardial infarction – of ?
Anterior wall, inferolateral wall, posterior wall, etc.
Tests, surgeries --- all need procedure codes to match the type of diagnosis code(s)

3. Complications Pregnancy Childbirth Ectopic Molar
Abortion (spontaneous, induced, failed)
Related to pregnancy
Childbirth
Labor related (early onset)
Normal delivery – trauma to perineum or vulva
cord
defects
stillbirth
pelvic infection
breech
obstruction
C-section

4. Skin Issues Depth Debridement (procedure – excisional/nonexcisional)
Color
Foreign object or substance as cause