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R03.0 Elevated blood-pressure reading, without diagnosis of hypertension If hypertension is the diagnosis, is it primary or secondary? If the diagnosis is primary hypertension, report: ICD-10 code I10 Essential (primary) hypertension For secondary hypertension, use secondary hypertension ICD-10 codes from category I15 with the specific underlying cause: I15.0 Renovascular hypertension I15.1 Hypertension secondary to other renal disorders I15.2 Hypertension secondary to endocrine disorders I15.8 Other secondary hypertension I15.9 Secondary hypertension, unspecified Is there hypertensive urgency or emergency? When a patient presents with hypertensive crisis or urgency, use codes from the I16 category alongside the appropriate code for the underlying hypertension type