I10
Essential (primary) hypertension
Essential (primary) hypertension is a common medical condition characterized by persistently elevated blood pressure in the arteries, where no specific medical cause can be found to explain the condition. It accounts for the vast majority of hypertension cases. Over time, if left unmanaged, it can lead to severe health complications, including heart disease, stroke, kidney failure, and vision loss. Diagnosis typically involves multiple blood pressure readings showing systolic pressure consistently at or above 130 mm Hg or diastolic pressure at or above 80 mm Hg, according to recent guidelines. Management focuses on lifestyle modifications and pharmacological interventions to reduce cardiovascular risk.
Clinical Symptoms
- Often asymptomatic ('silent killer')
- Headaches (usually in severe cases)
- Shortness of breath
- Nosebleeds
- Dizziness
- Chest pain
- Visual changes
Common Causes
- Genetics and family history
- Age-related vascular changes
- Obesity or overweight
- High sodium intake
- Sedentary lifestyle
- Excessive alcohol consumption
- Chronic stress
Documentation & Coding Tips
Clearly document the diagnosis as 'essential' or 'primary' hypertension to distinguish it from secondary hypertension.
Example: Patient presents for follow-up of essential hypertension. BP today is 135/85. Continuing current dose of Lisinopril.
Note if there is any causal relationship with heart or kidney disease, as this would require combination codes (e.g., I11.-, I12.-, I13.-).
Example: Essential hypertension, no evidence of hypertensive heart disease or chronic kidney disease.