I15

Secondary hypertension

FY2027Chapter 9: Diseases of the circulatory system/I10–I1A Hypertensive diseases

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

I15 is a non-billable ICD-10-CM code category for secondary hypertension. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are I15.0 Renovascular hypertension, I15.1 Hypertension secondary to other renal disorders, I15.2 Hypertension secondary to endocrine disorders, I15.8 Other secondary hypertension and 1 more. Its coding notes include a Use additional code instruction, a Code also instruction, 3 Excludes1 entries and 13 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Secondary hypertension takes two codes: one for the underlying cause and one from category I15.

Guidelines I.C.9.a.6Secondary hypertension needs two codesRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (6 notes)
Inherited from I10–I1A Hypertensive diseases
  • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • underlying condition

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • postprocedural hypertension (I97.3)
Also from chapter/block level (2 notes)
Inherited from I10–I1A Hypertensive diseases
  • neonatal hypertension (P29.2)
  • primary pulmonary hypertension (I27.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • secondary hypertension involving vessels of brain (I60-I69)
  • secondary hypertension involving vessels of eye (H35.0-)
Also from chapter/block level (11 notes)
Inherited from I10–I1A Hypertensive diseases
  • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
Inherited from Chapter 9 Diseases of the circulatory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

More specific codes under I15 5