ICD Code I11-

ICD code I11- is hypertensive heart disease, which refers to heart conditions caused by high blood pressure.

1. Presence of hypertension (elevated blood pressure documented on multiple occasions)

2. Evidence of heart disease attributable to hypertension (e.g., left ventricular hypertrophy, heart failure, or other cardiac complications)

3. Absence of chronic kidney disease as the primary complication

4. Clinical symptoms may include shortness of breath, chest discomfort, palpitations, or signs of heart failure such as edema

5. Diagnostic findings may include abnormal ECG, echocardiogram, or imaging consistent with hypertensive heart changes

Relevant CPT codes that may be used to treat ICD code I11- include:

- 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report)

- 93306 (Echocardiography, transthoracic, real-time with image documentation, complete, with Doppler and color flow)

- 99201–99215 (Evaluation and management services, new and established patients)

- 36415 (Collection of venous blood by venipuncture)

- 80061 (Lipid panel)

- 81001 (Urinalysis, automated, with microscopy)

- 99217–99239 (Hospital observation and discharge services)

- 99406–99407 (Smoking and tobacco use cessation counseling visit)

- 99495–99496 (Transitional care management services)

CPT code selection should be based on the specific services rendered and clinical documentation.

See how MD Clarity’s RevFind software can read your contracts and automatically detect underpayments for CPT codes related to ICD code I11-. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.