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ICD-10-CM codes for Hypertension

The ICD-10-CM Index to Diseases lists hypertension under "Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)". Without more detail in the record it is coded I10, essential (primary) hypertension, in tabular category I10 (Essential (primary) hypertension). More specific documentation changes the code, for example with, heart failure(congestive): I11.0; benign, intracranial: G93.2; borderline: R03.0.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026). Next CMS release: FY2028 code files, effective October 1, 2027.

Default code: I10 Essential (primary) hypertension

Index to Diseases entry: Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)

Each row is a subterm under the entry. Indented rows refine the row above; “see” sends you to another entry. Look the code up in the tabular list before reporting it: the tabular notes can require a more specific or an additional code.

ICD-10-CM index subterms under "Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)"
DocumentationCodeCode description or cross-reference
with—
heart failure(congestive)I11.0Hypertensive heart disease with heart failure
heart involvement(conditions in I50.- or I51.4-I51.7, I51.89, I51.9, due to hypertension)—see Hypertension, heart
kidney involvement—see Hypertension, kidney
benign, intracranialG93.2Benign intracranial hypertension
borderlineR03.0Elevated blood-pressure reading, without diagnosis of hypertension
cardiorenal(disease)I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
with heart failureI13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
without heart failureI13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
cardiovascular—
disease(arteriosclerotic) (sclerotic)—see Hypertension, heart
renal(disease)—see Hypertension, cardiorenal
chronic venous—see Hypertension, venous (chronic)
complicating—
childbirth(labor)O16.4Unspecified maternal hypertension, complicating childbirth
pregnancyO16.-Unspecified maternal hypertension
puerperium, pre-existingO16.5Unspecified maternal hypertension, complicating the puerperium
crisisI16.9Hypertensive crisis, unspecified
due to—
endocrine disordersI15.2Hypertension secondary to endocrine disorders
pheochromocytomaI15.2Hypertension secondary to endocrine disorders
renal disorders NECI15.1Hypertension secondary to other renal disorders
renovascular disordersI15.0Renovascular hypertension
specified disease NECI15.8Other secondary hypertension
emergencyI16.1Hypertensive emergency
encephalopathyI67.4Hypertensive encephalopathy
gestational(without significant proteinuria) (pregnancy-induced) (transient)O13.-Gestational [pregnancy-induced] hypertension without significant proteinuria
with significant proteinuria—see Pre-eclampsia
complicating—
Goldblatt'sI70.1Atherosclerosis of renal artery
heart(disease) (conditions in I51.4-I51.9 due to hypertension)I11.9Hypertensive heart disease without heart failure
with—
intracranial, benignG93.2Benign intracranial hypertension
kidneyI12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
with—
lesser circulationI27.0Primary pulmonary hypertension
maternalO16.-Unspecified maternal hypertension
newbornP29.2Neonatal hypertension
pulmonary(persistent)P29.30Pulmonary hypertension of newborn
ocularH40.05-Ocular hypertension
pancreatic duct - code to underlying condition—
with chronic pancreatitisK86.1Other chronic pancreatitis
portal(due to chronic liver disease) (idiopathic)K76.6Portal hypertension
gastropathyK31.89Other diseases of stomach and duodenum
in(due to) schistosomiasis (bilharziasis)B65.9Schistosomiasis, unspecified
postoperativeI97.3Postprocedural hypertension
psychogenicF45.8Other somatoform disorders
pulmonaryI27.20Pulmonary hypertension, unspecified
with—
arterial(associated) (drug-induced) (toxin-induced)I27.21Secondary pulmonary arterial hypertension
chronic thromboembolicI27.24Chronic thromboembolic pulmonary hypertension
due to—
group 1(associated) (drug-induced) (toxin-induced)I27.21Secondary pulmonary arterial hypertension
group 2I27.22Pulmonary hypertension due to left heart disease
group 3I27.23Pulmonary hypertension due to lung diseases and hypoxia
group 4I27.24Chronic thromboembolic pulmonary hypertension
group 5I27.29Other secondary pulmonary hypertension
of newborn(persistent)P29.30Pulmonary hypertension of newborn
primary(idiopathic)I27.0Primary pulmonary hypertension
secondary—
renal—see Hypertension, kidney
renovascularI15.0Renovascular hypertension
resistant(apparent treatment) (treatment) (true)I1A.0Resistant hypertension
secondary NECI15.9Secondary hypertension, unspecified
due to—
specified NECI15.8Other secondary hypertension
transientR03.0Elevated blood-pressure reading, without diagnosis of hypertension
of pregnancyO13.-Gestational [pregnancy-induced] hypertension without significant proteinuria
urgencyI16.0Hypertensive urgency
venous(chronic)—
due to—
idiopathicI87.309Chronic venous hypertension (idiopathic) without complications of unspecified lower extremity

Tabular list notes for I10

Includes
  • high blood pressure
  • hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
Excludes1 (never coded together)
  • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
Excludes2 (not part of this condition, may be coded together)
  • essential (primary) hypertension involving vessels of brain (I60-I69)
  • essential (primary) hypertension involving vessels of eye (H35.0-)

How to read an Index to Diseases entry

  • Words in parentheses after a term are nonessential modifiers: they may or may not appear in the record, and they do not change the code.
  • Indented subterms are essential modifiers. Each one describes a different site, type or cause, and when the record supports it, the subterm's code replaces the default code.
  • “With” and “in” link two conditions. The Official Guidelines presume a causal relationship between conditions linked by “with” in the index unless the provider documents that they are unrelated.
  • “See” sends you to another entry that holds the code; “see also” points to another entry that may be useful.
  • A code that ends in a dash, such as I50.-, is incomplete: the tabular list gives the characters it still needs.
  • Never report a code from the index alone. Find it in the tabular list and apply its includes, excludes, code first, use additional code and 7th-character instructions before you report it.

Once the code is settled, check what it does for payment: the HCC lookup for risk adjustment, the CC/MCC exclusion check for inpatient severity, and the LCD code lookup for local coverage of the service it supports. The guide to ICD-10 diagnosis codes explains the code structure.

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Frequently asked questions

What is the ICD-10 code for hypertension?

I10 (Essential (primary) hypertension) is the code the index assigns to "Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)" with no further detail. Confirm it in the tabular list before reporting it, because the tabular notes can require a different or additional code.

What is excluded from I10?

An Excludes1 note at I10 lists hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16): those conditions are coded elsewhere and never together with I10.

Which documentation changes the code for hypertension?

The index lists 51 subterms with their own codes, including with heart failure(congestive) (I11.0); benign, intracranial (G93.2); borderline (R03.0); cardiorenal(disease) (I13.10); cardiorenal(disease) with heart failure (I13.0).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The entry, subterms and codes are reproduced from the FY2027 ICD-10-CM index; code descriptions are from the FY2027 code files. Code from the medical record using both the index and the tabular list, under the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.