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The audio content is commercially licensed by Naturalsoft Ltd. 00:00 ICD-10-CM | Chapter 9 Diseases of the Circulatory System I00–I99 | Medical Coding | 00:26 Section 1: Chapter Overview 🔹 Hypertension 🔹 Heart disease 🔹 Heart failure 🔹 Cerebrovascular disease 🔹 Peripheral vascular disease 🔹 Embolism and thrombosis 00:53 Section 2: Key Code Categories 🔹 I00–I02: Acute rheumatic fever Rare in developed countries today, but still included Example: I00 – Rheumatic fever without heart involvement 🔹 I05–I09: Chronic rheumatic heart diseases Includes damage to heart valves from previous rheumatic fever 🔹 I10–I16: Hypertensive diseases I10: Essential (primary) hypertension I11–I13: Hypertension with heart or kidney involvement Example: I11.0 – Hypertensive heart disease with heart failure Always use additional codes for type of heart failure (e.g., I50.9) 🔹 I20–I25: Ischemic heart diseases Includes angina, myocardial infarction, and chronic IHD Example: I21.9 – Acute MI, unspecified Include onset timing: STEMI, NSTEMI, initial vs subsequent episode 🔹 I26–I28: Pulmonary heart disease Includes pulmonary embolism (PE) and cor pulmonale Example: I26.9 – Pulmonary embolism, unspecified 🔹 I30–I52: Other heart diseases Includes pericarditis, cardiomyopathy, conduction disorders, arrhythmias like atrial fibrillation (I48.91) 🔹 I60–I69: Cerebrovascular diseases Strokes (I63), transient ischemic attacks (I67.4), and late effects of strokes (I69.x) Important: Sequence based on acute vs sequelae 🔹 I70–I79: Diseases of arteries, arterioles, and capillaries Atherosclerosis (I70.x), aneurysms (I71.x), Raynaud’s syndrome 🔹 I80–I89: Diseases of veins, lymphatic vessels Includes DVT (I82.4x), varicose veins, chronic venous insufficiency 🔹 I95–I99: Other and unspecified circulatory disorders Includes hypotension (I95.9) and shock (not trauma-related) 03:34 Section 3: Coding Tips & Guidelines 1. Always confirm laterality and specificity, especially in stroke, DVT, and peripheral artery disease. 2. For hypertension with heart disease (I11.x): 🔹 Assume causal relationship unless stated otherwise. 🔹 Add I50.x for heart failure type. 3. For hypertension with chronic kidney disease (I12.x–I13.x): 🔹 Use N18.x for CKD stage alongside the hypertension code. 4. For acute myocardial infarction, determine: 🔹 Type (STEMI or NSTEMI) 🔹 Location of infarct 🔹 Initial or subsequent encounter 5. For stroke coding: 🔹 Use I63.x for acute stroke 🔹 Use I69.x for sequelae (residual effects) 🔹 Link to conditions like hemiplegia, aphasia, or cognitive deficits 04:46 Section 4: Real-World Case Examples 🔸 Example 1: Patient with essential hypertension. ✅ Code: I10 🔸 Example 2: Patient with hypertensive heart disease and heart failure. ✅ Code: I11.0 + I50.9 🔸 Example 3: Patient admitted for acute STEMI of the inferior wall. ✅ Code: I21.19 🔸 Example 4: Patient with old stroke and right-sided hemiparesis. ✅ Code: I69.351 🔸 Example 5: Patient with DVT in left lower extremity. ✅ Code: I82.492 05:39 Section 5: Common Diagnoses from Chapter 9 🔹 I10 – Essential hypertension 🔹 I11.0 – Hypertensive heart disease with heart failure 🔹 I21.3 – STEMI of unspecified site 🔹 I50.9 – Heart failure, unspecified 🔹 I63.9 – Cerebral infarction, unspecified 🔹 I82.409 – DVT, unspecified site 🔹 I69.351 – Hemiplegia and hemiparesis following cerebral infarction, right side #ICD10CM #ICD10Chapter9 #CardiologyCoding #HeartDisease #StrokeCoding #HypertensionCoding #MedicalCodingTutorial #RHITPrep #icd10cm2025 medical coding medical coding classes online medical coding and billing medical coding for beginners medical coding course medical coding interview questions for freshers medical coding course details medical coding in tamil medical coding jobs for freshers medical coding jobs medical coding malayalam medical coding in telugu medical coding work demo medical coding interview