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    OpenPayerBilling CodesHypertensive diseasesICD-10-CM i13-hypertensive-heart-and-chronic-kidney-disease
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    ICD-10-CM Code For Hypertensive Heart And Chronic Kidney Disease: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I13 includes combined diagnoses of hypertensive heart disease with chronic kidney disease, covering conditions where long-standing hypertension affects both the heart and the kidneys and specifies stages of kidney disease and heart failure involvement. These ICD-10-CM diagnosis codes are used to document clinical scenarios where hypertension has produced concurrent cardiac and renal organ damage, capturing disease severity and organ-specific complications. Accurate coding within the ICD-10-CM I13 group supports proper claim adjudication / complete clinical documentation / appropriate reimbursement.

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    ICD-10-CM I13: Hypertensive Heart And Chronic Kidney Disease Overview

    The diagnoses in this group represent combined hypertensive heart disease and chronic kidney disease with hypertension-related complications affecting the cardiovascular and renal systems. These codes capture the coexistence of heart disease and chronic kidney disease driven by hypertension and indicate the organs involved and severity. Accurate coding matters for reimbursement because it documents complexity and supports claim adjudication tied to comorbid conditions.

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    When to Use

    Use a code from this group when a patient has documented hypertensive heart disease together with chronic kidney disease and the clinical record links the conditions to hypertension. Select codes that reflect the presence of heart failure if present and the documented stage of chronic kidney disease to capture clinical complexity.

    ICD-10-CM Codes

    4 rows

    ICD-10-CM CodeDescription
    I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
    I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

    DRG Codes

    13 rows

    DRG CodeDescription
    008Simultaneous Pancreas and Kidney Transplant
    019Simultaneous Pancreas and Kidney Transplant with Hemodialysis
    291Heart Failure and Shock with MCC
    292Heart Failure and Shock with CC
    293Heart Failure and Shock without CC/MCC
    673Other Kidney and Urinary Tract Procedures with MCC
    674Other Kidney and Urinary Tract Procedures with CC
    675Other Kidney and Urinary Tract Procedures without CC/MCC
    682Renal Failure with MCC
    683Renal Failure with CC
    684Renal Failure without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • An elderly patient with long-standing hypertension presents to the emergency department with worsening dyspnea, lower extremity edema, and orthopnea over several days. Evaluation shows signs of congestive heart failure with reduced ejection fraction and labs reveal a chronic decline in renal function consistent with stage 3–4 chronic kidney disease; the combined cardiac and renal pathology is coded as hypertensive heart disease with chronic kidney disease because hypertension is the underlying cause of both organ dysfunction. Typical codes: I13.11, I13.2
    • A middle-aged patient in primary care with poorly controlled hypertension is found on routine testing to have albuminuria and an estimated GFR of 45 mL/min/1.73m2 but no acute heart failure symptoms; the clinician documents hypertensive heart disease with chronic kidney disease as the chronic comorbid condition driving ongoing management and monitoring. Typical codes: I13.10, I13.2
    • An adult arrives to the hospital with hypertensive emergency manifesting as acute pulmonary edema requiring urgent blood pressure reduction; chart review shows preexisting chronic kidney disease attributed to long-standing hypertension, so the admission diagnosis captures both the acute hypertensive cardiac complication and the chronic hypertensive kidney disease. Typical codes: I13.0, I13.11

    Related Codes

    I10-ESSENTIAL-PRIMARY-HYPERTENSION

    ICD-10-CM Code For Essential (Primary) Hypertension: Group Overview

    I11-HYPERTENSIVE-HEART-DISEASE

    ICD-10-CM Code For Hypertensive Heart Disease: Group Overview

    I12-HYPERTENSIVE-CHRONIC-KIDNEY-DISEASE

    ICD-10-CM Code For Hypertensive Chronic Kidney Disease: Group Overview

    I15-SECONDARY-HYPERTENSION

    ICD-10-CM Code For Secondary Hypertension: Group Overview

    I16-HYPERTENSIVE-CRISIS

    ICD-10-CM Code For Hypertensive Crisis: Group Overview

    I1A-OTHER-HYPERTENSION

    ICD-10-CM Code For Other Hypertension: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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