I67.4: Hypertensive encephalopathy
I67.4 is a billable, specific ICD-10-CM code for hypertensive encephalopathy. It is valid for submission on a claim.
Check I67.4 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- insufficiency, NOS, of precerebral arteries (G45.2)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Excludes1 inherited from the categories above I67.4
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above I67.4
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with I67.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G93.2Benign intracranial hypertension
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I67.4 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53026Billing and Coding: Bariatric Surgery Coverage
- A56551Billing and Coding: Visual Fields Testing
- A56612Billing and Coding: CT of the Head
- A56799Billing and Coding: Visual Fields Testing
Alphabetic index entries that lead here
- Encephalopathy›hypertensive
- Hypertension, hypertensive›encephalopathy
- Degeneration, degenerative›cerebrovascular›due to hypertension
- Lesion›cerebrovascular›hypertensive
- Lesion›brain›vascular›hypertensive
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I67
- I67.0Dissection of cerebral arteries, nonruptured
- I67.1Cerebral aneurysm, nonruptured
- I67.2Cerebral atherosclerosis
- I67.3Progressive vascular leukoencephalopathy
- I67.5Moyamoya disease
- I67.6Nonpyogenic thrombosis of intracranial venous system
- I67.7Cerebral arteritis, not elsewhere classified
- I67.8Other specified cerebrovascular diseases
- I67.9Cerebrovascular disease, unspecified