I11.0 — Hypertensive heart disease with heart failure
Is I11.0 billable?
Yes — I11.0 is billable for FY2027. I11.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. I11.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
I11.0 at a glance
| Code | I11.0 |
|---|---|
| Description | Hypertensive heart disease with heart failure |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does I11.0 group to?
I11.0 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 291Heart Failure and Shock with MCCmedical
- 292Heart Failure and Shock with CCmedical
- 293Heart Failure and Shock without CC/MCCmedical
How is I11.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to I11.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hypertension, hypertensive › with › heart failure (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)
- Hypertension, hypertensive › heart › with › heart failure (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)
Use additional code
Report an additional code alongside I11.0 to fully describe the condition. I11.0 is sequenced first.
- code to identify type of heart failure (I50.-)
Inclusion terms
Alternative wording in documentation that is classified to I11.0.
- Hypertensive heart failure
Excludes1 — never code together — inherited from I10-I1A
The conditions below can never be reported together with I11.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from I10-I1A
Report an additional code alongside I11.0 to fully describe the condition. I11.0 is sequenced first.
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I11.0, but a patient may have both at the same time. When documentation supports it, I11.0 and the excluded code may both be reported.
- 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.-)
Excludes2 — not included here — inherited from I10-I1A
The conditions below are not part of I11.0, but a patient may have both at the same time. When documentation supports it, I11.0 and the excluded code may both be reported.
How long has I11.0 existed?
I11.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.