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

ICD-10 I16.0

Billable / Specific

Hypertensive urgency

I16
Block
0
Synonyms
143
LCDs
12
Payer Policies
4
Linked CPTs

About ICD-10-CM I16.0

ICD-10-CM code I16.0 represents Hypertensive urgency. This is a billable/specific code in the Circulatory System chapter (block I16). The 2026 edition of ICD-10-CM I16.0 became effective on October 1, 2025.

Medicare LCD Coverage for I16.0

Local Coverage Determinations (LCDs) from CMS MACs that list I16.0 as a covered diagnosis.

143 LCDs

Showing top 10 of 143 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Article ID: 56605, Effective: 2026-02-15 00:00:00, 117 covered, 0 non-covered
CPT 83880 →
CMS LCD: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Article ID: 59960, Effective: , 115 covered, 0 non-covered
CPT 83880 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93924 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93978 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93893 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93986 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93985 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93922 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I16.0.

12 policies

1 Cigna

Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)
Policy ID: MM_0028

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Policy ID: ART-56605
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781

1 Aetna

Pancreas Transplantation Alone (PTA) and Islet Cell Transplantation
Policy ID: CPB-0601

CPT Codes Commonly Billed with I16.0

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

4 linkages
  • 83880 CMS LCD: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing CMS LCD
  • 94762 CMS LCD: Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation CMS LCD
  • 94760 CMS LCD: Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation CMS LCD
  • 94761 CMS LCD: Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation CMS LCD

Convert I16.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I16.0 4019 10000

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

Codes Adjacent To I16.0

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 I11.9 Hypertensive heart disease without 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)

ICD-10 I16.0, Billing FAQ

Is ICD-10 code I16.0 billable? +

Yes, I16.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with I16.0? +

Procedures frequently paired with I16.0 include: 83880, 94762, 94760, 94761.

What ICD-9 codes does I16.0 map to? +

Per CMS GEMs, I16.0 maps to ICD-9 codes: 4019. 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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