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

ICD-10 I1A.0

Billable / Specific

Resistant hypertension

I1A
Block
3
Synonyms
125
LCDs
13
Payer Policies
17
Linked CPTs

About ICD-10-CM I1A.0

ICD-10-CM code I1A.0 represents Resistant hypertension. This is a billable/specific code in the Circulatory System chapter (block I1A). The 2026 edition of ICD-10-CM I1A.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I1A.0. Per CMS ICD-10-CM Tabular 2026.

  • Apparent treatment resistant hypertension
  • Treatment resistant hypertension
  • True resistant hypertension

Coding Notes

Code First

  • specific type of existing hypertension, if known, such as:
  • essential hypertension (I10)
  • secondary hypertension (I15.-)

Medicare LCD Coverage for I1A.0

Local Coverage Determinations (LCDs) from CMS MACs that list I1A.0 as a covered diagnosis.

125 LCDs

Showing top 10 of 125 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 81517 →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 0344U →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 0003M →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 0468U →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 81599 →
CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 0166U →
CMS LCD: Billing and Coding: Homocysteine Level, Serum
Article ID: 56675, Effective: 2024-10-01 00:00:00, 550 covered, 0 non-covered
CPT 83090 →
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: Diagnostic Abdominal Aortography and Renal Angiography
Article ID: 56682, Effective: 2025-08-19 00:00:00, 250 covered, 1 non-covered
CPT 36253 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I1A.0.

13 policies

5 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Bariatric Surgical Management of Morbid Obesity
Policy ID: ART-56422
Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Policy ID: ART-56605
Billing and Coding: Homocysteine Level, Serum
Policy ID: ART-56675
Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography
Policy ID: ART-56682

CPT Codes Commonly Billed with I1A.0

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

17 linkages
  • 36254 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36252 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36247 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 75630 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • G0278 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36253 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 75726 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36245 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36251 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 75625 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD

Codes Adjacent To I1A.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 I1A.0, Billing FAQ

Is ICD-10 code I1A.0 billable? +

Yes, I1A.0 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 I1A.0? +

ICD-10 I1A.0 includes: Apparent treatment resistant hypertension; Treatment resistant hypertension; True resistant hypertension.

What CPT codes are commonly billed with I1A.0? +

Procedures frequently paired with I1A.0 include: 36254, 36252, 36247, 75630, G0278.

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Reviewed by the PayerReady Medical Coding Team

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

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