Hypertensive heart disease with heart failure

This code signifies a condition where a patient's heart disease and subsequent heart failure are directly caused by chronic hypertension. It indicates the presence of both hypertensive heart disease and heart failure, with the hypertension being the underlying etiology.

Apply this code when documentation clearly links the patient's heart failure to their long-standing hypertension, and there is evidence of structural or functional heart changes due to the hypertension. This is appropriate for patients with a confirmed diagnosis of both conditions where the hypertension is explicitly stated as causative.

• Always ensure the documentation explicitly states the causal relationship between hypertension and heart failure.
• Do not use this code if the heart failure is due to a different etiology, even if hypertension is also present.
• Sequence this code as the primary diagnosis when the hypertensive heart disease with heart failure is the reason for the encounter.