I27.29
BillableOther secondary pulmonary hypertension
HCC Category Mapping
V28HCC 226 — Heart Failure, Specified
0.000V24HCC 85 — Congestive Heart Failure
0.368ESRDHCC 85 — Congestive Heart Failure
0.000RxHCCHCC 184 — Pulmonary Hypertension, Other
0.000What This Code Means
High blood pressure in the lung arteries caused by other secondary conditions not specifically classified in the I27.2 category.
Coding Tips
Clinical Significance
This code captures secondary pulmonary hypertension from causes not classified in the more specific I27.21-I27.24 subcategories. It represents complex multi-system disease where the pulmonary vasculature is affected by rare or unusual underlying conditions. Accurate documentation of the specific secondary cause is essential.
Documentation Requirements
- ✓Provider diagnosis of secondary pulmonary hypertension
- ✓Documented underlying cause that does not fit I27.21 through I27.24 categories
- ✓Evidence of elevated pulmonary artery pressures
- ✓Clinical documentation explaining why the specific secondary cause codes do not apply
- ✓Treatment plan addressing both the pulmonary hypertension and underlying condition
Code Also
- other associated disorders, if known, such as:
- chronic myeloid leukemia (C92.10-C92.22)
- essential thrombocythemia (D47.3)
- Gaucher disease (E75.22)
- hypertensive chronic kidney disease with end stage renal disease (I12.0, I13.11, I13.2)
- hyperthyroidism (E05.-)
- hypothyroidism (E00-E03)
- polycythemia vera (D45)
- sarcoidosis (D86.-)
Commonly Confused Codes
I27.21 — Secondary pulmonary arterial hypertension; use for arterial causes like connective tissue disease or HIVI27.22 — Pulmonary hypertension due to left heart disease; use when left heart is the causeI27.23 — Pulmonary hypertension due to lung diseases and hypoxia; use for pulmonary etiologiesI27.20 — Pulmonary hypertension, unspecified; use only when no cause can be identified
Code Hierarchy
└I27Other pulmonary heart diseases└I27.2Other secondary pulmonary hypertension└I27.29Other secondary pulmonary hypertension
└I27.29Other secondary pulmonary hypertension