M79.602 - Pain in left arm

Clinical Definition

Hypertensive heart disease refers to cardiac complications and structural changes that occur as a direct result of sustained high blood pressure (hypertension). The condition often leads to left ventricular hypertrophy as the heart muscle thickens to compensate for increased workload.

Documentation Requirements

• Must explicitly document link between hypertension and heart disease

• Need to specify:

  • Current blood pressure readings

  • Type of heart involvement (e.g., LVH, diastolic dysfunction)

  • Presence/absence of heart failure

  • Stage of heart failure if present (systolic/diastolic)

  • Current hypertension status (controlled/uncontrolled)

• Document:

  • Duration of hypertension

  • Current medications

  • Any other cardiovascular complications

Common Synonyms

• High blood pressure with heart problems

• BP-related heart disease

• Cardiac hypertension

• Pressure-related heart condition

• HTN with cardiac involvement

Coding Conflicts

Excludes1:

• Hypertension without heart involvement

• Heart disease due to other causes

Excludes2:

• Hypertensive heart and kidney disease

• Secondary hypertension

• Hypertensive crisis

Scribing.io Automation

The AI scribe automatically identifies:

• Blood pressure measurements

• Cardiac-specific terminology

• Medication lists related to HTN/heart disease

• Causative relationship statements

• Heart failure terminology

• Monitoring parameters

Keywords are flagged when doctor mentions:

• "due to hypertension"

• "hypertensive"

• "pressure-related changes"

• "cardiac remodeling"

• "LVH secondary to HTN"