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

ICD-10 I16.1

Billable / Specific CC

Hypertensive emergency

I16
Block
0
Synonyms
143
LCDs
10
Payer Policies
4
Linked CPTs

About ICD-10-CM I16.1

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

Coding Tips for I16.1

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

I16.1 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Use Additional Code

When coding I16.1, also report these additional codes when applicable.

  • code, if applicable, to identify specific organ dysfunction, such as:
  • acute kidney injury (N17.-)
  • acute myocardial infarction (I21.-)
  • acute pulmonary edema (left and/or right ventricular failure) (J81.0, I50.-)
  • aortic dissection (I71.0-)
  • cerebral hemorrhage (I60.-. I61.-, I62.-)
  • cerebral infarction (I63.-)
  • eclampsia (O15.-)
  • hypertensive encephalopathy (I67.4)
  • seizure (R56.9)

Inpatient DRG Impact, CC

code Hypertensive emergency. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I16.1

Local Coverage Determinations (LCDs) from CMS MACs that list I16.1 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 I16.1.

10 policies

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

CPT Codes Commonly Billed with I16.1

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 I16.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I16.1 4019 10000

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

Codes Adjacent To I16.1

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 I16.1, Billing FAQ

Is ICD-10 code I16.1 billable? +

Yes, I16.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is I16.1 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with I16.1? +

Procedures frequently paired with I16.1 include: 83880, 94762, 94760, 94761.

What ICD-9 codes does I16.1 map to? +

Per CMS GEMs, I16.1 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 June 1, 2026.

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