1. ICD-10-CM Codes
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2. I00-I99 Diseases of the circulatory system
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3. I10-I16 Hypertensive diseases
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4. I11- Hypertensive heart disease
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2018/2019 ICD-10-CM Diagnosis Code I11

Hypertensive heart disease

2016 2017 2018 2019 Non-Billable/Non-Specific Code

• I11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• The 2018/2019 edition of ICD-10-CM I11 became effective on October 1, 2018.
• This is the American ICD-10-CM version of I11 - other international versions of ICD-10 I11 may differ.

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Type 1 Excludes: I51
  ICD-10-CM Diagnosis Code I51

  Complications and ill-defined descriptions of heart disease

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • any condition in I51.4-I51.9 due to hypertension (I11.-)
  • any condition in I51.4-I51.9 due to hypertension and chronic kidney disease (I13.-)
  • heart disease specified as rheumatic (I00-I09)
• Includes: I13
  ICD-10-CM Diagnosis Code I13

  Hypertensive heart and chronic kidney disease

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • any condition in I11.- with any condition in I12.-
  • cardiorenal disease
  • cardiovascular renal disease
• Applicable To: O10.1
  ICD-10-CM Diagnosis Code O10.1

  Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Any condition in I11 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

  Use Additional

  • code from I11 to identify the type of hypertensive heart disease
• Use Additional: O10.1
  ICD-10-CM Diagnosis Code O10.1

  Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Any condition in I11 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

  Use Additional

  • code from I11 to identify the type of hypertensive heart disease

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.