I11.0

Hypertensive heart disease with heart failure

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC226

Heart Failure, Except End-Stage and Acute

CMS-HCC ESRD V24

HCC85

Congestive Heart Failure

RxHCC V08

RXHCC186

Heart Failure

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · I11.0
Use additional

code to identify type of heart failure (I50.-)

Synonyms

Hypertensive heart failure

Inherited from I11Hypertensive heart disease
Includes

any condition in I50.- or I51.4-I51.7, I51.89, I51.9 due to hypertension

Inherited from I10-I1AHypertensive diseases
Excludes 1

neonatal hypertension (P29.2) primary pulmonary hypertension (I27.0)

Excludes 2

hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)

Use additional

code to identify: exposure to environmental tobacco smoke (Z77.22) history of tobacco dependence (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.-) tobacco use (Z72.0)

Inherited from chapter 9Diseases of the circulatory system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) systemic connective tissue disorders (M30-M36) transient cerebral ischemic attacks and related syndromes (G45.-)

Official Guidelines for I11.0

FY 2026 ›