Hypertensive heart disease without heart failure

This code signifies a condition where a patient has heart disease directly caused by chronic high blood pressure, but without any current signs or symptoms of heart failure. The heart may show structural changes, such as left ventricular hypertrophy, due to the sustained elevated systemic arterial pressure.

Apply this code when documentation clearly indicates a diagnosis of hypertensive heart disease without any mention of heart failure. This is appropriate for patients with hypertension-induced cardiac changes, such as hypertrophy, but who are not experiencing decompensation.

• Always code hypertension as an additional diagnosis when present.
• Do not use this code if any form of heart failure (e.g., systolic, diastolic, unspecified) is documented; instead, use a combination code from category I11.0.
• Ensure the physician's documentation explicitly links the heart disease to hypertension.