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Compare/I11 vs O13

I11 vs O13

I11 (Hypertensive heart disease) compared with O13 (Gestational [pregnancy-induced] hypertension without significant proteinuria), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. I11 carries an Excludes2 note covering O13: “hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I11Hypertensive heart diseaseO13Gestational [pregnancy-induced] hypertension without significant proteinuria
Billing statusNon-billable header

Report instead: I11.0, I11.9

Non-billable header

Report instead: O13.1, O13.2, O13.3, O13.4, O13.5

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionHypertensive heart disease is a non-billable ICD-10-CM category code (I11).Gestational [pregnancy-induced] hypertension without significant proteinuria is a non-billable ICD-10-CM category code (O13).
Includes
any condition in I50.- or I51.4-I51.7, I51.89, I51.9 due to hypertension
gestational hypertension NOS
transient hypertension of pregnancy
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources