ICD-11 Codes
for BA01 - Hypertensive heart disease

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

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Clinical overview: Hypertensive heart disease (BA01)

Hypertensive heart disease (BA01) denotes heart conditions caused by long?standing high blood pressure. This umbrella includes left ventricular hypertrophy, coronary artery disease, cardiac arrhythmias and heart failure that arise from hypertension. Effective blood pressure control reduces the risk of progression to heart failure and other complications.

Common symptoms and presentation

Many individuals with hypertensive heart disease do not notice symptoms initially. When present, symptoms may include chest pain, shortness of breath, palpitations or fatigue, particularly with exertion. The risk of developing heart failure increases as hypertension remains uncontrolled over time.

Causes and risk factors

The primary cause is chronic, poorly controlled high blood pressure. Age, obesity, diabetes, high cholesterol, smoking and a family history of cardiovascular disease further elevate risk. The condition can progress even in the absence of obvious symptoms.

Diagnosis and coding considerations

In ICD?11, hypertensive heart disease is coded as BA01 Hypertensive heart disease. Related codes include BA02 hypertensive renal disease and BA03 hypertensive crisis; appropriate coding depends on the clinical picture. Diagnosis typically relies on clinical history, physical examination and tests such as ECG and echocardiography to assess cardiac structure and function and identify coexisting conditions.

Treatment and management

Management focuses on strict blood pressure control to prevent disease progression. Treatment commonly includes lifestyle modification and medications such as renin?angiotensin system inhibitors (ACE inhibitors or ARBs), diuretics, calcium channel blockers and beta?blockers where appropriate. When heart failure or other complications are present, additional heart failure therapies and multidisciplinary care are considered.

Documentation, billing and coding notes

For coding purposes, use the ICD?11 code BA01 when the primary condition is hypertensive heart disease. Related complications or manifestations (for example, heart failure) may be described with additional codes as clinically indicated. Hypertensive heart disease has synonyms such as hypertensive heart disease with heart failure; however, the primary code remains BA01 for the hypertensive heart disease condition. Capture all relevant conditions in documentation and consider cluster coding where applicable.