I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Use additional code

• code to identify type of heart failure (I50.-)
• code to identify stage of chronic kidney disease (N18.1-N18.4, N18.9)

Applies from I13 Hypertensive heart and chronic kidney disease

Includes

• any condition in I11.- with any condition in I12.-
• cardiorenal disease
• cardiovascular renal disease

Risk adjustment (HCC)

• CMS-HCC V28: HCC 226 — Heart Failure, Except End-Stage and Acute
• CMS-HCC V22: HCC 85 — Congestive Heart Failure
• RxHCC V08: HCC 186 — Heart Failure
• ESRD V24: HCC 85

MS-DRG index

Defines the logic of DRG(s) 291-293 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 404.01 Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified (approximate)
• 404.11 Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified (approximate)
• 404.91 Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified (approximate)

Code annotations containing back-references to I13.0

Back-references to I13

• Code Also: I16 Hypertensive crisis ("any identified hypertensive disease (I10-I15, I1A)")
• Code First: I50 Heart failure ("heart failure due to hypertension with chronic kidney disease (I13.-)")
• Type 1 Excludes: I51.5 Myocardial degeneration ("myocardial degeneration due to hypertension and chronic kidney disease (I13.-)")
• Type 1 Excludes: I51.7 Cardiomegaly ("cardiomegaly due to hypertension and chronic kidney disease (I13.-)")
• Code Also: I67.4 Hypertensive encephalopathy ("hypertensive heart and chronic kidney disease (I13.-)")
• Code Also: I87.2 Venous insufficiency (chronic) (peripheral) ("hypertensive heart and chronic kidney disease (I13.-)")
• Code First: N18 Chronic kidney disease (CKD) ("hypertensive chronic kidney disease (I12.-, I13.-)")
• Use Additional: O10.3 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium ("code from I13 to identify the type of hypertensive heart and chronic kidney disease")

Diagnosis Index entries for I13.0

• Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) › cardiorenal (disease) › with heart failure
• Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) › cardiorenal (disease) › with heart failure › with stage 1 through stage 4 chronic kidney disease

Nearby codes

• I13 Hypertensive heart and chronic kidney disease
• I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease (this code)
• I13.1 Hypertensive heart and chronic kidney disease without heart failure
• I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
• I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
• I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease