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ICD-10-CM Codes
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I00-I99
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I10-I16
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I11-
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2023 ICD-10-CM Diagnosis Code I11.0
2023 ICD-10-CM Diagnosis Code I11.0
Hypertensive heart disease with heart failure
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- I11.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2023 edition of ICD-10-CM I11.0 became effective on October 1, 2022.
- This is the American ICD-10-CM version of I11.0 - other international versions of ICD-10 I11.0 may differ.
Applicable To- Hypertensive heart failure
Use AdditionalUse Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
The following code(s) above
I11.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
I11.0:
- I00-I99
2023 ICD-10-CM Range I00-I99
Diseases of the circulatory systemType 2 Excludes- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
- I10-I16
2023 ICD-10-CM Range I10-I16
Hypertensive diseasesType 1 Excludes- neonatal hypertension (P29.2)
- primary pulmonary hypertension (I27.0)
Type 2 Excludes- hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
Use Additional- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
- I11
ICD-10-CM Diagnosis Code I11
Hypertensive heart disease
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
- Benign hypertensive heart disease with congestive heart failure
- Hypertensive heart and kidney disease
- Hypertensive heart failure
- Malignant hypertensive heart disease with congestive heart failure
ICD-10-CM I11.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 222 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock with mcc
- 223 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock without mcc
- 291 Heart failure and shock with mcc
- 292 Heart failure and shock with cc
- 293 Heart failure and shock without cc/mcc
- 791 Prematurity with major problems
- 793 Full term neonate with major problems
Convert I11.0 to ICD-9-CM
Code History
- 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
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations containing back-references to I11.0:
- Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) I10
ICD-10-CM Diagnosis Code I10
Essential (primary) hypertension
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Questionable As Admission Dx
Includes- high blood pressure
- hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
Type 1 Excludes- hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
Type 2 Excludes- essential (primary) hypertension involving vessels of brain (I60-I69)
- essential (primary) hypertension involving vessels of eye (H35.0-)
- with
- heart failure I11.0 (congestive)
- heart (disease) (conditions in I51.4-I51.9 due to hypertension) I11.9
ICD-10-CM Diagnosis Code I11.9
Hypertensive heart disease without heart failure
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To- Hypertensive heart disease NOS
- with
- heart failure I11.0 (congestive)
ICD-10-CM Codes Adjacent To I11.0
I09 Other rheumatic heart diseases
I09.0 Rheumatic myocarditis
I09.1 Rheumatic diseases of endocardium, valve unspecified
I09.2 Chronic rheumatic pericarditis
I09.8 Other specified rheumatic heart diseases
I09.81 Rheumatic heart failure
I09.89 Other specified rheumatic heart diseases
I09.9 Rheumatic heart disease, unspecified
I10 Essential (primary) hypertension
I11 Hypertensive heart disease
I11.0
Hypertensive heart disease with heart failure
I11.9 Hypertensive heart disease without heart failure
I12 Hypertensive chronic kidney disease
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13 Hypertensive heart and chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.1 Hypertensive heart and chronic kidney disease without heart failure
I13.10 …… with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 …… with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
