Hypertensive heart disease without heart failure
ICD-10 I11.9 is a billable code used to indicate a diagnosis of hypertensive heart disease without heart failure.
Hypertensive heart disease without heart failure (I11.9) refers to the cardiovascular complications that arise from chronic hypertension, leading to structural and functional changes in the heart. Clinically, patients may present with symptoms such as chest pain, palpitations, or dyspnea, although many remain asymptomatic until advanced stages. The primary anatomical structures involved include the myocardium, which may undergo hypertrophy due to increased workload, and the coronary arteries, which may experience atherosclerosis as a consequence of prolonged high blood pressure. Disease progression typically involves the development of left ventricular hypertrophy, increased myocardial oxygen demand, and potential ischemic events. Diagnostic considerations include a thorough patient history, physical examination, and diagnostic tests such as echocardiography, electrocardiograms, and blood pressure monitoring. It is essential to differentiate I11.9 from other hypertensive heart diseases that may involve heart failure (I11.0) or other specific conditions to ensure accurate coding and treatment planning.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I11.9 covers hypertensive heart disease characterized by left ventricular hypertrophy and other structural changes due to chronic hypertension, without the presence of heart failure. It does not include conditions like hypertensive heart disease with heart failure or other specific heart conditions.
I11.9 should be used when a patient has documented hypertensive heart disease without any signs or symptoms of heart failure. It is important to differentiate it from I11.0, which includes heart failure, and other related codes that specify different cardiac conditions.
Documentation supporting I11.9 should include a clear diagnosis of hypertension, evidence of cardiac assessment showing hypertrophy or other changes, and a lack of heart failure symptoms. Clinical notes, echocardiogram results, and blood pressure readings are essential.
