2025 ICD-10-CM code I11.9
(Active) Effective Date: N/A Revision Date: N/A Diseases of the circulatory system - Hypertensive heart disease Diseases of the circulatory system (I00-I99) Feed
Hypertensive heart disease without heart failure.
Modifiers may be applicable depending on the circumstances of the encounter. Consult current modifier guidelines.
Medical necessity for coding I11.9 is established by the presence of clinically significant heart disease secondary to hypertension, confirmed by objective findings such as echocardiogram or ECG changes, in the absence of heart failure.Treatment for the hypertension and associated cardiac changes would need to be medically necessary.
The clinical responsibility includes diagnosing and managing hypertension and its associated cardiac complications. This involves regular monitoring of blood pressure, assessment of cardiac function (e.g., echocardiogram), and treatment to control hypertension and prevent further cardiac damage. This may include lifestyle modifications, medication management, and referral to specialists as needed.
In simple words: This code means the person has heart problems caused by high blood pressure, but they don't have heart failure.
This code represents hypertensive heart disease where heart failure is not present.It indicates that the patient has heart disease as a direct consequence of hypertension.The code encompasses a range of cardiac conditions resulting from uncontrolled hypertension, but specifically excludes the presence of heart failure.Conditions like those classified under I50.- or I51.4-I51.7, I51.89, I51.9 due to hypertension are included under this code.
Example 1: A 65-year-old male with a long history of uncontrolled hypertension presents with chest pain and shortness of breath.An echocardiogram reveals left ventricular hypertrophy.Heart failure is not present.I11.9 is coded., A 70-year-old female with hypertension is found to have electrocardiogram (ECG) changes consistent with left ventricular hypertrophy. A cardiac workup shows no evidence of heart failure. The physician diagnoses hypertensive heart disease without heart failure, coded as I11.9., A 58-year-old male patient with a long history of hypertension undergoes a routine physical exam, which reveals an enlarged heart on chest X-ray. Further investigation reveals left ventricular hypertrophy, but no signs or symptoms of heart failure.I11.9 is used.
* Thorough history of hypertension, including duration, treatment, and compliance.* Physical examination findings, including blood pressure measurements.* Results of cardiac evaluation, such as echocardiogram, ECG, and cardiac biomarkers.* Documentation of the absence of heart failure.
** This code is for hypertensive heart disease without heart failure.It does not include primary pulmonary hypertension (I27.0) or neonatal hypertension (P29.2).
- Payment Status: Active
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient