ICD-10 Code I11.0

Hypertensive heart disease with heart failure

Diagnosis Code I11.0

ICD-10: I11.0
Short Description: Hypertensive heart disease with heart failure
Long Description: Hypertensive heart disease with heart failure
Version 2019 of the ICD-10-CM diagnosis code I11.0

Valid for Submission
The code I11.0 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Diseases of the circulatory system (I00–I99)
    • Hypertensive diseases (I10-I16)
      • Hypertensive heart disease (I11)
Version 2019 Billable Code

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code I11.0 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MCC
  • 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MCC
  • 224 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MCC
  • 225 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITHOUT MCC
  • 226 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 227 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Convert to ICD-9
  • 402.01 - Mal hypert hrt dis w hf (Approximate Flag)
  • 402.11 - Benign hyp ht dis w hf (Approximate Flag)
  • 402.91 - Hyp ht dis NOS w ht fail (Approximate Flag)

Synonyms
  • Benign hypertensive heart disease
  • Benign hypertensive heart disease with congestive cardiac failure
  • Hypertensive heart disease with congestive heart failure
  • Hypertensive heart failure
  • Malignant hypertensive heart disease
  • Malignant hypertensive heart disease with congestive heart failure

Index to Diseases and Injuries
References found for the code I11.0 in the Index to Diseases and Injuries:


Tabular List of Diseases and Injuries
References found for the code I11.0 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Hypertensive heart failure

Information for Patients


Heart Failure

Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided heart failure

Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped or is about to stop working. It means that your heart is not able to pump blood the way it should. It can affect one or both sides of the heart.

The weakening of the heart's pumping ability causes

  • Blood and fluid to back up into the lungs
  • The buildup of fluid in the feet, ankles and legs - called edema
  • Tiredness and shortness of breath

Common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is more common in people who are 65 years old or older, African Americans, people who are overweight, and people who have had a heart attack. Men have a higher rate of heart failure than women.

Your doctor will diagnose heart failure by doing a physical exam and heart tests. Treatment includes treating the underlying cause of your heart failure, medicines, and heart transplantation if other treatments fail.

NIH: National Heart, Lung, and Blood Institute

  • Brain natriutetic peptide test (Medical Encyclopedia)
  • Heart failure - discharge (Medical Encyclopedia)
  • Heart failure - fluids and diuretics (Medical Encyclopedia)
  • Heart failure - home monitoring (Medical Encyclopedia)
  • Heart failure - medicines (Medical Encyclopedia)
  • Heart failure in children - home care (Medical Encyclopedia)
  • Heart failure in children - overview (Medical Encyclopedia)
  • Heart failure overview (Medical Encyclopedia)
  • Pleural effusion (Medical Encyclopedia)
  • Pulmonary edema (Medical Encyclopedia)

[Read More]

High Blood Pressure

Also called: Benign essential hypertension, Essential hypertension, HBP, HTN, Hypertension

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is called diastolic pressure.

Your blood pressure reading uses these two numbers. Usually the systolic number comes before or above the diastolic number. A reading of

  • 119/79 or lower is normal blood pressure
  • 140/90 or higher is high blood pressure
  • Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is called prehypertension. Prehypertension means you may end up with high blood pressure, unless you take steps to prevent it.

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure.

You can control high blood pressure through healthy lifestyle habits such as exercise and the DASH diet and taking medicines, if needed.

NIH: National Heart, Lung, and Blood Institute

  • ACE inhibitors (Medical Encyclopedia)
  • Blood pressure measurement (Medical Encyclopedia)
  • Blood pressure monitors for home (Medical Encyclopedia)
  • Controlling your high blood pressure (Medical Encyclopedia)
  • Drug-induced hypertension (Medical Encyclopedia)
  • High blood pressure (Medical Encyclopedia)
  • High blood pressure - children (Medical Encyclopedia)
  • High blood pressure and eye disease (Medical Encyclopedia)
  • High blood pressure medications (Medical Encyclopedia)
  • Hypertensive heart disease (Medical Encyclopedia)
  • Low-salt diet (Medical Encyclopedia)
  • Malignant hypertension (Medical Encyclopedia)
  • Renovascular hypertension (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - 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.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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