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Asthma, COPD & Respiratory Disease • ICD-10-CM I27.20

Pulmonary Hypertension

Also known as: Pulmonary arterial hypertension, Respiratory, Respiration, Pulmonary, Breath

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM I27.20 • 8 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Pulmonary Hypertension Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Pulmonary Hypertension?

What is pulmonary hypertension? Pulmonary hypertension, sometimes called PH, is a serious condition that affects the blood vessels in the lungs. It develops when the blood pressure in your lungs is higher than normal. Your heart pumps blood to your lungs so they can add oxygen to the blood. The blood goes back to your heart. From there, it travels to the rest of your body so that your tissues can get the oxygen that they need. The blood moves from your heart to your lungs through blood vessels called pulmonary arteries. If the pulmonary arteries become damaged, narrowed, or blocked, the blood does not flow through them as well.

Pathophysiology, Underlying Causes & Clinical Presentation

Pulmonary Hypertension (I27.20) alters lungs & asthma homeostasis through small-airway remodeling [Pulmonary Hypertension I27.20]; Cross-referenced with NIH MeSH (Hypertension, Pulmonary), clinical remission targets Spirometry FEV1 / in Pulmonary Hypertension (I27.20: FVC Ratio) within >= 0.75 (FEV1 >= 80% predicted) (I27.20).

Common Symptoms & Clinical Signs

  • • Heart diseases , including left-sided heart failure and congenital heart disease
  • • Lung diseases such as COPD (chronic obstructive pulmonary disease), interstitial lung disease , emphysema , and sleep apnea
  • • Presentation of Pulmonary Hypertension (I27.20): declining stair-climbing stamina in Pulmonary Hypertension (I27.20: or frequent rescue)
  • • Secondary Pulmonary Hypertension clinical sign: episodic wheezing, expiratory in Pulmonary Hypertension (I27.20: chest tightness, or)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Pulmonary Hypertension Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code I27.20 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Asthma, COPD & Respiratory Disease NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Blood Eosinophil Count [Pulmonary Hypertension I27.20] < 150 cells/uL (phenotyping marker) (I27.20) Clinical Reference Target Range
Diagnostic / Lab Marker: Spirometry FEV1 / in Pulmonary Hypertension (I27.20: FVC Ratio) >= 0.75 (FEV1 >= 80% predicted) (I27.20) Clinical Reference Target Range
Diagnostic / Lab Marker: Fractional Exhaled Nitric in Pulmonary Hypertension (I27.20: Oxide (FeNO)) < 25 ppb (I27.20) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Pulmonary Hypertension

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Bisoprolol Fumarate and Hydrochlorothiazide Bisoprolol Fumarate and Hydrochlorothiazide Generic • RxCUI 854916 Thiazide Diuretic 90% $0.1855 $ 16.01 /mo
Minoxidil Hims Hair Regrowth Treatment, Elevate Hair Regrowth Treatment 5 • RxCUI 197986 Arteriolar Vasodilator 76% $0.0941 $ 6.10 /mo
Propranolol Hydrochloride Inderal Xl, Inderal • RxCUI 856457 beta-Adrenergic Blocker 86% $0.0498 $ 5.74 /mo
Amlodipine and Atorvastatin Caduet • RxCUI 597977 Calcium Channel Blocker 86% $1.5140 $ 69.82 /mo
Epaned (Enalapril Maleate) Epaned • RxCUI 1435630 Angiotensin Converting Enzyme Inhibitor 77% $4.4523 $ 59.25 /mo
Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Olmesartan Medoxomil, Amlodipine and Hydrochlorothiazide • RxCUI 999967 Thiazide Diuretic 86% $0.0745 $ 11.52 /mo
Prazosin Hydrochloride Minipress • RxCUI 312594 alpha-Adrenergic Blocker 83% $0.0823 $ 8.87 /mo
Hydrochlorothiazide Inzirqo, Microzide • RxCUI 199903 Thiazide Diuretic 87% $0.0303 $ 5.25 /mo
Quinapril Quinapril Generic • RxCUI 312748 Angiotensin Converting Enzyme Inhibitor 80% $2.6900 $ 117.45 /mo
Bisoprolol Fumarate Zebeta • RxCUI 854901 beta-Adrenergic Blocker 83% $0.1570 $ 6.76 /mo
Captopril Capoten • RxCUI 308963 Angiotensin Converting Enzyme Inhibitor 83% $0.2284 $ 6.72 /mo
Acebutolol Hydrochloride Sectral • RxCUI 998685 beta-Adrenergic Blocker 78% $0.5388 $ 21.57 /mo
Nebivolol Bystolic • RxCUI 387013 beta-Adrenergic Blocker 91% $0.1376 $ 6.25 /mo
Atenolol and Chlorthalidone Atenolol and Chlorthalidone Generic • RxCUI 197382 beta-Adrenergic Blocker 75% $0.2217 $ 17.48 /mo
Guanfacine Hydrochloride Tenex • RxCUI 197745 Central alpha-2 Adrenergic Agonist 92% $0.1400 $ 6.71 /mo
Isradipine DynaCirc • RxCUI 197848 Dihydropyridine Calcium Channel Blocker 76% $1.1368 $ 41.49 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Pulmonary Hypertension)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Sildenafil for congenital heart diseases induced lung high blood pressure, a: What a 849-Participant Study Found

Sildenafil is a well-tolerated treatment in congenital heart diseases induced lung high blood pressure, as it has proven its efficacy not only in lowering both PAP mean and systolic but also in reducing the ventilation time,...

BMC pediatrics • 2023-07-20 • Meta-Analysis
N = 849 97/100 PMID 37474896 ↗
New Insights on Relationship Between Time From Diagnosis and Morbidity/Mortality in lung Arterial: What a 1,156-Participant Study Found

In the GRIPHON study, newly diagnosed PAH patients had a worse prognosis than patients with a longer time from diagnosis.

Chest • 2021-07-15 • Phase III Randomized Trial
N = 1,156 96/100 PMID 33545163 ↗
New Insights on Effect of ensifentrine on dyspnea in patients with moderate-to-severe chronic: What a 975-Participant Study Found

Ensifentrine produced clinically meaningful improvements in multiple dyspnea measures in patients with symptomatic, moderate-to-severe COPD.

Expert review of respiratory medicine • 2024-08-15 • Phase III Randomized Trial
N = 975 93/100 PMID 39106052 ↗
New Insights on [Efficacy and clinical full symptom relief in patients with severe asthma and: What a 301-Participant Study Found

Placebo: 0.21 L, 95% CI : 0.14-0.29, P CI :-0.46--0.11, P =0.002) and ACQ-6 scores (LS mean difference:-0.33, 95% CI :-0.46--0.19, P CI :-11.35--4.79], P n =277; placebo n =264), a higher proportion of benralizumab-treated...

Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases • 2025-10-12 • Phase III Randomized Trial
N = 301 93/100 PMID 41073307 ↗
What the Latest Evidence Really Says About Vasodilators for persistent lung high blood pressure of the newborn: A network

Milrinone, Sildenafil, and Sildenafil_Milrinone reduced the mortality of neonates with PPHN.

Pediatric pulmonology • 2024-12-15 • Meta-Analysis
Multi-cohort 92/100 PMID 39193897 ↗
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