When doctors say 'hypertensive urgency', they usually just mean that the hypertension has caused or is the problem. Urgency or Crisis, etc. are just non-essential modifiers. Things doctors say, that have no bearing on the code. So you just code hypertension, malignant, benign or unspecified, then you can code whatever else was happening like dmaec said - nosebleed, headache, dizzy, etc.