ICD-10 I11
Non-Billable HeaderHypertensive heart disease
About ICD-10-CM I11
ICD-10-CM code I11 represents Hypertensive heart disease. This is a non-billable header code in the Circulatory System chapter (block I11). The 2026 edition of ICD-10-CM I11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Includes
- any condition in I50.- or I51.4-I51.7, I51.89, I51.9 due to hypertension
Medicare LCD Coverage for I11
Local Coverage Determinations (LCDs) from CMS MACs that list I11 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I11.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I11 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with I11
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Codes Adjacent To I11
Other codes in section I10-I1A (Hypertensive diseases).
ICD-10 I11, Billing FAQ
Is ICD-10 code I11 billable? +
No, I11 is a non-billable header code. Use a more specific child code from block I11 when submitting claims.
What CPT codes are commonly billed with I11? +
Procedures frequently paired with I11 include: 99213, 99214, 99215.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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