I27.20

I27.20: Pulmonary hypertension, unspecified

Billable / specific codeICD-10-CM

I27.20 is a billable, specific ICD-10-CM code for pulmonary hypertension, unspecified. It is valid for submission on a claim.

Check I27.20 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pulmonary hypertension NOS

Excludes1 inherited from the categories above I27.20

A category’s note binds every code beneath it.

Written on I27.2: Other secondary pulmonary hypertension

Eisenmenger's syndrome (I27.83)

Other codes that can never be billed with I27.20

Their own Excludes1 notes name this code, so the conflict is not listed above.

I27.0Primary pulmonary hypertension

Risk adjustment

I27.20 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 226 Heart Failure, Except End Stage and Acute0.360 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I27.20 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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