ICD-9 Diagnosis Code 404.91

Hyp ht/kd NOS I-IV w hf

Diagnosis Code 404.91

ICD-9: 404.91
Short Description: Hyp ht/kd NOS I-IV w hf
Long Description: Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
This is the 2014 version of the ICD-9-CM diagnosis code 404.91

Code Classification
  • Diseases of the circulatory system
    • Hypertensive disease (401-405)
      • 404 Hypertensive heart and renal disease

Information for Medical Professionals

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Index of Diseases and Injuries
References found for the code 404.91 in the Index of Diseases and Injuries:

Information for Patients

Chronic Kidney Disease

Also called: CKD

You have two kidneys, each about the size of your fist. Their main job is to filter wastes and excess water out of your blood to make urine. They also keep the body's chemical balance, help control blood pressure, and make hormones.

Chronic kidney disease (CKD) means that your kidneys are damaged and can't filter blood as they should. This damage can cause wastes to build up in your body. It can also cause other problems that can harm your health. Diabetes and high blood pressure are the most common causes of CKD.

Treatment may include medicines to lower blood pressure, control blood glucose, and lower blood cholesterol. CKD can get worse over time. CKD may lead to kidney failure. The only treatment options for kidney failure are dialysis or a kidney transplantation.

You can take steps to keep your kidneys healthier longer:

  • Choose foods with less salt (sodium)
  • Keep your blood pressure below 130/80
  • Keep your blood glucose in the target range, if you have diabetes

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • 24-hour urine protein
  • ACE inhibitors
  • Albumin - serum
  • Basic metabolic panel
  • BUN
  • Chronic Kidney Disease and Medicines: What You Need to Know - NIH (National Kidney Disease Education Program)
  • Chronic Kidney Disease-Mineral and Bone Disorder - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Creatinine - urine
  • Glomerular filtration rate
  • Kidney biopsy
  • Medicines and Kidney Disease - NIH (National Kidney Disease Education Program)
  • Microalbuminuria test
  • Phosphorus: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
  • Potassium: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
  • Protein: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
  • Renal arteriography
  • Renal perfusion scintiscan
  • Renal scan
  • Renovascular hypertension
  • Sodium: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
  • Urinary casts
  • You, Your Blood Pressure, and Your Kidneys (American Kidney Fund)

[Read More]

High Blood Pressure

Also called: Benign essential hypertension, Essential hypertension, HBP, HTN, Hypertension

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is called diastolic pressure.

Your blood pressure reading uses these two numbers. Usually the systolic number comes before or above the diastolic number. A reading of

  • 119/79 or lower is normal blood pressure
  • 140/90 or higher is high blood pressure
  • Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is called prehypertension. Prehypertension means you may end up with high blood pressure, unless you take steps to prevent it.

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure.

You can control high blood pressure through healthy lifestyle habits such as exercise and the DASH diet and taking medicines, if needed.

NIH: National Heart, Lung, and Blood Institute

  • ACE inhibitors
  • Blood pressure measurement
  • Blood pressure monitors for home
  • Controlling your high blood pressure
  • Drug-induced hypertension
  • High blood pressure
  • High blood pressure and eye disease
  • High blood pressure medications
  • Hypertensive heart disease
  • Low-salt diet
  • Malignant hypertension
  • Renovascular hypertension
  • Talk with Your Health Care Provider about High Blood Pressure (Agency for Healthcare Research and Quality)

[Read More]

Kidney Diseases

Also called: Renal disease

Your kidneys are two bean-shaped organs, each about the size of your fists. They are located near the middle of your back, just below the rib cage. Inside each kidney about a million tiny structures called nephrons filter blood. They remove waste products and extra water, which become urine. The urine flows through tubes called ureters to your bladder, which stores the urine until you go to the bathroom.

Most kidney diseases attack the nephrons. This damage may leave kidneys unable to remove wastes. Causes can include genetic problems, injuries, or medicines. You are at greater risk for kidney disease if you have diabetes, high blood pressure, or a close family member with kidney disease. Chronic kidney disease damages the nephrons slowly over several years. Other kidney problems include:

  • Cancer
  • Cysts
  • Stones
  • Infections

Your doctor can run tests to find out if you have kidney disease. If your kidneys fail completely, a kidney transplant or dialysis can replace the work your kidneys normally do.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • 24-hour urine protein
  • Abdominal MRI
  • Abdominal tap
  • ACE inhibitors
  • Acid loading test (pH)
  • Acute nephritic syndrome
  • Albumin - serum
  • Analgesic nephropathy
  • Atheroembolic renal disease
  • Bartter syndrome
  • Basic metabolic panel
  • Bilateral hydronephrosis
  • BUN
  • Congenital nephrotic syndrome
  • Creatinine - urine
  • Distal renal tubular acidosis
  • Focal segmental glomerulosclerosis
  • Glomerular filtration rate
  • Glomerulonephritis
  • Goodpasture syndrome
  • IgA nephropathy
  • Injury - kidney and ureter
  • Interstitial nephritis
  • Kidney biopsy
  • Kidney removal
  • Kidney removal - discharge
  • Medicines and Kidney Disease - NIH (National Kidney Disease Education Program)
  • Membranoproliferative GN I
  • Membranous nephropathy
  • Microalbuminuria test
  • Minimal change disease
  • Nephrocalcinosis
  • Nephrotic syndrome
  • Obstructive uropathy
  • Perirenal abscess
  • Protein urine test
  • Proximal renal tubular acidosis
  • Reflux nephropathy
  • Renal arteriography
  • Renal papillary necrosis
  • Renal perfusion scintiscan
  • Renal scan
  • Renal vein thrombosis
  • Renal venogram
  • Total protein
  • Unilateral hydronephrosis
  • Urinary casts

[Read More]
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