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I11.0

Hypertensive heart disease with heart failure

Diseases of the circulatory system Billable
Quick Reference
Hypertension causing heart failure with documented cardiac dysfunction

Clinical Information

When to Use This Code

Hypertension causing heart failure with documented cardiac dysfunction

Common Clinical Scenarios

  • Chronic hypertension leading to CHF
  • Left ventricular hypertrophy with heart failure
  • Hypertensive cardiomyopathy
  • HTN with reduced ejection fraction

Documentation Requirements

  • Document blood pressure history and control status
  • Record echocardiogram findings showing systolic or diastolic dysfunction
  • Note NYHA functional class
  • Specify if acute decompensation present

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Hypertensive heart failureHypertensive cardiomyopathy with CHFHTN with heart failure

Exclusion Terms

Do NOT use this code for:

  • Hypertensive heart disease without heart failure (I11.9)
  • Hypertensive chronic kidney disease (I12.-)
  • Heart failure without hypertension (I50.-)

Coding Notes

Use additional I50.- code to specify type of heart failure
Assumes causal relationship between HTN and heart failure
Code acute decompensation separately if present

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Code Details

Code
I11.0
Category
Diseases of the circulatory system
Billable Status
Billable

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