I67.4

Hypertensive encephalopathy

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

RxHCC V08

RXHCC187

Hypertension

Coding notes

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

This code · I67.4
Excludes 2

insufficiency, NOS, of precerebral arteries (G45.2)

Code also

, if applicable, associated hypertensive conditions such as: essential (primary) hypertension (I10) hypertensive chronic kidney disease (I12.-) hypertensive heart and chronic kidney disease (I13.-) hypertensive heart disease (I11.-)

Inherited from I67Other cerebrovascular diseases
Excludes 1

Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5-) Occlusion and stenosis of precerebral artery causing cerebral infarction (I63.2-)

Excludes 2

sequelae of the listed conditions (I69.8)

Inherited from I60-I69Cerebrovascular diseases
Excludes 1

traumatic intracranial hemorrhage (S06.-)

Use additional

code to identify presence of: alcohol abuse and dependence (F10.-) exposure to environmental tobacco smoke (Z77.22) history of tobacco dependence (Z87.891) hypertension (I10-I1A) 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 I67.4

FY 2026 ›