Hypertension ICD 10: Proper Diagnosis and Treatment

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All you need to know about hypertensive heart disease ICD 10!… Heart problems have become very common in people of every gender these days. Many factors, including living style, eating habits, the exercise routine, contribute to the heart diseases acquired by people these days. Heart diseases can also be acquired by people if it is present in their family line. These diseases need to be prevented or treated in time otherwise, they can prove to be life-threatening. People with heart problems often face many difficulties in their daily lives. But don’t worry, we will tell you all you need to know about hypersensitive heart disease

Hypertension ICD 10
Hypertension ICD 10

The heart is the main organ that keeps our body functioning. It is responsible for pumping blood all around the body. This blood flows through arteries and veins. Imagine if these arteries and veins stop functioning as they are supposed to, what problems will the body have to face on the whole? Similarly, even if anyone out of the four chambers of the heart stops functioning properly, our body will have to suffer a lot. So, the wellness of our body depends on the wellness of the arteries and the chambers of the heart

What is hypersensitive heart disease?

Hypersensitive heart disease is a situation that the heart has to go through, because of high blood pressure. High blood pressure in a person’s body can narrow down the arteries through which the blood flows. It is simple physics. Area and pressure are inversely proportional. If the blood pressure is very high, the area of the arteries becomes less i.e. they get narrowed down. Now, because of these arteries narrowing down, the blood is not able to flow properly in the body. Also, sometimes, the blood pressure is so high that it closes the arteries and the blood flow stops. This condition can even lead to death. 

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Another hypersensitive heart disease is ‘left ventricular hypertrophy. Sometimes, due to heavy exercise, along with the muscles of all the parts of the body, the muscles of the heart also grow. This muscle growth largely affects the left ventricle of the heart. i.e. the most important chamber of the heart. Since the effectiveness of the left ventricle gets altered, the blood doesn’t get pumped efficiently. 

This condition is also related to high blood pressure, hence called hypersensitive heart disease. When the blood pressure is high, the arteries get narrowed and the blood doesn’t get pumped properly. Because of this, the heart has to do extra work. And hence, the heart muscles get thickened. On the other hand, left ventricular hypertrophy can cause the arteries to narrow down. Both these conditions go hand in hand.

There are many ways in which you can control your blood pressure from shooting up and thus controlling Hypersensitive heart disease problems and these are- 

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~Keep your weight in check:

Being overweight can be the main cause of heart problems. So, the best way to keep your weight in check is, to keep your body mass index perfect. Motivate yourself to exercise regularly. This would help your weight to be in the proper range. But don’t over-exercise as it can also cause heart problems

~Eat a healthy diet:

Sometimes, eating a diet that is high in cholesterol, may increase your risk of heart problems. 

~Try not to smoke: 

It is scientifically proven that smoking can increase your heart rate and also, narrows down your arteries. Both these things will push you towards hypersensitive heart disease. 

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Hypertensive heart disease icd 10

Hypertensive heart disease incorporates various confusions of hypertension that influence the heart. While there are a few meanings for hypertensive coronary illness in clinical writing, the term is most broadly utilized in the International Classification of Diseases ( ICD ) coding classifications.

According to hypertensive heart disease icd 10 (I11), and its subcategories: hypertensive heart disease with heart failure icd 10 and hypertensive heart disease without heart failure icd 10 are distinguished from chronic rheumatic heart diseases (I05-I09), other forms of heart disease (I30-I52) and ischemic heart diseases (I20-I25).


However, since high blood pressure is a risk factor for atherosclerosis and ischemic heart disease, death rates from hypertension icd 10 provide an incomplete measure of the burden of disease due to high blood pressure.

Hypertensive Heart Disease is a broad term used to describe cardiac conditions associated with hypertension. These include CHE, LVH & CAD. ICD-10 CM requires a provider to address 

–  the presence or absence and type of heart failure and

– the stage of any commitment to chronic kidney disease.

It is necessary to document the type of CHE and CKD in separate diagnoses and codes. Example includes – 

ICD-10: I11. 0  – Hypertensive heart disease with heart failure.

ICD- 10: I13.11- Hypertensive heart & CKD without heart failure, with stage 5CKD or ESRD.

Accurate, specific, and complete documentation of hypertensive heart disease is important for providers and patients because documentation should trigger the measurement of qualities associated with improved outcomes. For Medicare and Medicaid, the NCQA HEDIS measure that must be documented for this condition is controlling blood pressure.

Specific to Medicaid patients is the annual measurement of potassium & creatinine levels for patients on ACEs, ARBs, or diuretics.

Hypertensive Heart Disease is the leading cause of illness and death from high blood pressure.


All adults over the age of 18 should have their blood pressure checked every year. A more frequent measurement may be needed for those with a history of high blood pressure readings or those with a risk factor for high blood pressure – 

– Exercise and maintenance of a healthy weight.

– Lifestyle changes and/or meditation may reduce high blood pressure to healthy levels.

Medications such as diuretics, beta-blockers, potassium replacement, calcium channel blockers, and AC inhibitions.

– A healthy, low sodium ( salt) diet rich in natural sources of potassium, calcium, and fiber.

If your blood pressure is high, you need to lower it and keep it under control by:-

– Do not stop or change high blood pressure medicines without talking to your provider.

– Carefully control diabetes and high cholesterol. 

Congestive heart failure ICD 10

Congestive heart failure directly affects the pumping power of our heart muscles. CHE specifically refers to the stage in which fluids build around the heart and cause it to pump inefficiently. In ICD 10, the term “congestive” is considered a non-essential term for heart failure. ICD-10 has no code for “congestive” heart failure, the term is included in the code.

I50.9 – Unspecified heart failure –

It is a disorder characterized by the inability of the heart to pump blood at an adequate volume to meet tissue metabolic requirements. Heart failure can be caused by structural defects, functional abnormalities (ventricular dysfunction), or a sudden overload beyond its capacity.

To assign an appropriate ICD-10 code for heart failure, documentation of the term ” congestive” is not required. When systolic and diastolic heart failure documentation is present, “congestive” is included in the code(s).

 I50.2 –  Systolic ( congestive) heart failure – 

The ICD code I50 is used to code Acute decompensate heart failure. Acute decompensated heart failure is a sudden worsening of the signs and symptoms of heart failure, which typically includes difficulty breathing, leg or foot swelling, and fatigue.

I50.3  Diastolic ( congestive) heart failure – 

The amount of blood pumped out to the body is less than normally called diastolic heart failure. It causes the natural effect of aging on the heart. As you age, your heart muscles tend to stiffen, which can prevent your heart from filling with blood properly, leading to diastolic heart failure. 

I50.4 Combined systolic (congestive) and Diastolic (congestive) heart failure.

Coronary artery disease icd 10

Coronary Artery Disease called CAD, Coronary or Atherosclerotic heart disease is a serious condition caused by a buildup of plaque in our coronary arteries the blood vessels that bring oxygen-rich blood to our heart. Our arteries are smooth and elastic. But when plague builds upon their inner walls, it can make them stiff & narrow.

This slows blood flow to your heart muscle, so it doesn’t get the oxygen it needs. The plague could also break off leading to a heart attack or sudden cardiac death.

Symptoms of Coronary Artery Disease – 

The most common symptom is angina or chest pain. People describe angina as:-

– Aching

– Burning 


– Heaviness

– Pressure

– Squeezing

– Weakness or

– Dizziness

which can be diagnostic tests including:-

ECG, Echocardiogram, Exercise Stress Test, Nuclear Stress Test, cardio-catheterization and Angiogram, Cardiac CT Scan.

ICD-10 CM code for Atherosclerotic heart disease of the native coronary artery without angina pectoris is a medical classification as listed by WHO under the range of diseases of the circulatory system. I25.10 is a billable ICD code used to specify a diagnosis of Atherosclerotic Heart Disease.   

Hypertension icd 10

High Pressure is clinically referred to as Hypertension which is related to the circulatory system. IE means heart, arteries, and veins. There are numerous reasons for hypertension which include smoking, obesity (being over-weighted), diabetes having a sedentary lifestyle, lack of physical activities, high salt or alcoholic levels, deficiency of calcium potassium, and magnesium, deficiency in Vitamin A, stress, edging, and kidney diseases, thyroid conditions, and tumors.  


Symptoms of Hypertension range from headache, fatigue, confusion, dizziness, vision problems, chest pain, and breathing problems can be diagnosed by a health care professional with a “Sphygmomanometer” as a primary measure, and ECG, ECO test, and Blood test can be conducted for advance results.

 Essential (primary) hypertension I10

In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9(unspecified). ICD-10 uses only a single code for individuals who meet the criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension. 

Hypertension has a limited number of ICD-10 codes – 

Only nine codes for primary hypertension and five codes for secondary hypertension. The hypertension disease codes in ICD–10 exclude several conditions: hypertension complicating pregnancy, neonatal hypertension, primary pulmonary hypertension, and primary and secondary hypertension involving vessels of the brain or the eye. Postprocedural hypertension is also excluded from the secondary hypertension codes. 

hypertensive heart disease is connected with heart problems which mainly occur because of high blood pressure which is already present over a long time. Such a disease makes the muscles thicker so it creates problems getting enough oxygen. Sometimes, it is seen in our daily life when we get upstairs or walk first, then our heart bits increase by double speed rate or chest pain for a moment, as our cholesterol level is high.

When cholesterol deposits in the blood vessels, the heart attack or stroke risk of chances is high.

Being healthy is in your hands. So, keep your heart fit and it will keep you fit! 

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Maja Zayeri
Maja Zayeri
Maja Zayeri, a prolific author and heart health expert, seamlessly blends her passion for writing with her extensive knowledge of cardiovascular wellness. He is committed to providing her patients with the highest quality of care and is passionate about educating people on the importance of heart health.

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