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    v1.0.28
    OpenPayerBilling CodesHypertensive diseasesICD-10-CM i15-secondary-hypertension
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    ICD-10-CM Code For Secondary Hypertension: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I15 includes diagnoses for hypertension caused by identifiable underlying conditions such as renal disease, endocrine disorders, vascular abnormalities, or medication effects. These ICD-10-CM diagnosis codes are used to document clinical scenarios where elevated blood pressure is secondary to another disorder, capturing disease etiology, organ involvement, and clinical complexity. Accurate coding within the ICD-10-CM I15 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM I15: Secondary Hypertension Overview

    The diagnoses in this group represent forms of hypertension with an identifiable underlying cause, such as renal, endocrine, vascular, or medication-induced conditions, affecting the cardiovascular and renal systems. Accurate coding captures the specific etiology and complications of high blood pressure and supports clinical decision-making and administrative processes. Precise documentation and coding are important for appropriate claim processing and ensuring that complexity of care is reflected for reimbursement.

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    When to Use

    Use codes from this group when elevated blood pressure is documented as resulting from a specific underlying disorder rather than primary essential hypertension. Assign the code that identifies the causative condition and any associated hypertensive manifestations documented in the medical record.

    ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    I15.0Renovascular hypertension
    I15.1Hypertension secondary to other renal disorders
    I15.2Hypertension secondary to endocrine disorders
    I15.8Other secondary hypertension
    I15.9Secondary hypertension, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    304Hypertension with MCC
    305Hypertension without MCC

    Typical Clinical Scenarios

    • A middle-aged patient with long-standing obstructive sleep apnea presents to the clinic with poorly controlled blood pressure despite adherence to a three-drug antihypertensive regimen; overnight oximetry and recent office readings suggest nocturnal hypoxemia–related hypertension requiring evaluation for a secondary cause. A diagnosis from this group is assigned when an identifiable condition (sleep-disordered breathing) is felt to be driving the elevated blood pressure. Typical codes: I15.0, I15.9
    • A young adult admitted to the hospital with sudden onset severe hypertension and persistent hypokalemia is found to have an aldosterone-producing adrenal adenoma on biochemical testing and imaging; the hypertension is considered secondary to endocrine disease and is managed jointly by endocrinology and surgery. A code from this group is used to capture hypertension attributable to an endocrine cause (primary hyperaldosteronism) rather than essential hypertension. Typical codes: I15.1, I15.9
    • An older patient with chronic kidney disease stage 4 is referred to nephrology for escalating blood pressure resistant to multiple agents; workup documents renal artery stenosis causing reduced renal perfusion and secondary elevation of systemic blood pressure. When renal vascular disease is identified as the underlying etiology of the hypertension, a secondary hypertension code from this group is assigned to reflect the renal cause. Typical codes: I15.2, I15.8

    Related Codes

    I10-ESSENTIAL-PRIMARY-HYPERTENSION

    ICD-10-CM Code For Essential (Primary) Hypertension: Group Overview

    I11-HYPERTENSIVE-HEART-DISEASE

    ICD-10-CM Code For Hypertensive Heart Disease: Group Overview

    I12-HYPERTENSIVE-CHRONIC-KIDNEY-DISEASE

    ICD-10-CM Code For Hypertensive Chronic Kidney Disease: Group Overview

    I13-HYPERTENSIVE-HEART-AND-CHRONIC-KIDNEY-DISEASE

    ICD-10-CM Code For Hypertensive Heart And Chronic Kidney Disease: Group Overview

    I16-HYPERTENSIVE-CRISIS

    ICD-10-CM Code For Hypertensive Crisis: Group Overview

    I1A-OTHER-HYPERTENSION

    ICD-10-CM Code For Other Hypertension: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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