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Jaime is a 9-year-old obese boy. Jaime’s pediatrician suspects that he may have hypertension due to his weight, but has not come to a conclusive diagnosis yet. So far, he has had two elevated blood pressure readings, but has not been diagnosed with hypertension. Jaime saw his pediatrician today for a blood pressure reading, which was elevated. What is the correct diagnosis code for Jaime’s office visit?
  1. 401.9
  2. 401.0
  3. 405.9
  4. 796.2
Explanation
Answer: D - The correct diagnosis code for Jaime’s office visit is 796.2. According to the ICD-9 manual, the code 796.2 (Elevated Blood Pressure Reading Without Diagnosis of Hypertension) should be used for an incidental elevated high blood pressure reading, or in any case where there is a high blood pressure reading without a diagnosis of hypertension. Although Jaime’s blood pressure reading today was high, he has not been officially diagnosed with hypertension, therefore the correct diagnosis is 796.2.
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