ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I11.9

Billable / Specific

Hypertensive heart disease without heart failure

I11
Block
1
Synonyms
357
LCDs
22
Payer Policies
14
Linked CPTs

About ICD-10-CM I11.9

ICD-10-CM code I11.9 represents Hypertensive heart disease without heart failure. This is a billable/specific code in the Circulatory System chapter (block I11). The 2026 edition of ICD-10-CM I11.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I11.9. Per CMS ICD-10-CM Tabular 2026.

  • Hypertensive heart disease NOS

Medicare LCD Coverage for I11.9

Local Coverage Determinations (LCDs) from CMS MACs that list I11.9 as a covered diagnosis.

357 LCDs

Showing top 10 of 357 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93018 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 0742T →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78434 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93017 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78429 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78454 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78453 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 75563 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78432 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I11.9.

22 policies

1 Aetna

Automated Ambulatory Blood Pressure Monitoring - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0025

2 Cigna

Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)
Policy ID: MM_0028
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
Policy ID: ART-54923
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500

CPT Codes Commonly Billed with I11.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

14 linkages
  • 93979 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93975 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93976 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93978 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93980 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93981 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 78431 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
  • 78492 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
  • 75563 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
  • 75559 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD

Convert I11.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I11.9 40200 10000
I11.9 40210 10000
I11.9 40290 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I11.9

Other codes in section I10-I1A (Hypertensive diseases).

I10 Essential (primary) hypertension I11 Hypertensive heart disease (non-billable) I11.0 Hypertensive heart disease with heart failure I12 Hypertensive chronic kidney disease (non-billable) I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I13 Hypertensive heart and chronic kidney disease (non-billable) I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I13.1 Hypertensive heart and chronic kidney disease without heart failure (non-billable) I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease I15 Secondary hypertension (non-billable) I15.0 Renovascular hypertension I15.1 Hypertension secondary to other renal disorders I15.2 Hypertension secondary to endocrine disorders I15.8 Other secondary hypertension I15.9 Secondary hypertension, unspecified I16 Hypertensive crisis (non-billable) I16.0 Hypertensive urgency

ICD-10 I11.9, Billing FAQ

Is ICD-10 code I11.9 billable? +

Yes, I11.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I11.9? +

ICD-10 I11.9 includes: Hypertensive heart disease NOS.

What CPT codes are commonly billed with I11.9? +

Procedures frequently paired with I11.9 include: 93979, 93975, 93976, 93978, 93980.

What ICD-9 codes does I11.9 map to? +

Per CMS GEMs, I11.9 maps to ICD-9 codes: 40200, 40210, 40290. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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