I12.0 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
| ICD-10: | I12.0 |
| Short Description: | Hyp chr kidney disease w stage 5 chr kidney disease or ESRD |
| Long Description: | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
I12.0 is a billable ICD-10 code used to specify a medical diagnosis of hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chronic kidney disease due to benign hypertension
- Chronic kidney disease due to benign hypertension
- Chronic kidney disease stage 5 due to benign hypertension
- Chronic kidney disease stage 5 due to hypertension
- End stage renal disease due to benign hypertension
- End stage renal disease due to hypertension
- End stage renal disease on dialysis due to hypertension
- End stage renal disease on dialysis due to type 2 diabetes mellitus
- End stage renal failure on dialysis
- End stage renal failure on dialysis
- Hypertension concurrent and due to end stage renal disease on dialysis
- Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
- Hypertension in chronic kidney disease due to type 2 diabetes mellitus
- Hypertensive end stage renal disease
- Hypertensive renal failure
- Malignant hypertensive chronic kidney disease
- Malignant hypertensive chronic kidney disease
- Malignant hypertensive chronic kidney disease stage 5
- Malignant hypertensive end stage renal disease
- Malignant hypertensive end stage renal disease on dialysis
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Disease, diseased - See Also: Syndrome;
- - end stage renal (ESRD) - N18.6
- - due to hypertension - I12.0
- - renal (functional) (pelvis) - See Also: Disease, kidney; - N28.9
- - end-stage (failure) - N18.6
- - due to hypertension - I12.0
- - end-stage (failure) - N18.6
- - end stage renal (ESRD) - N18.6
- - Failure, failed
- - renal - N19
- - end stage (chronic) - N18.6
- - due to hypertension - I12.0
- - end stage (chronic) - N18.6
- - renal - N19
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| I12.0 | 403.01 - Mal hyp kid w cr kid V | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
| I12.0 | 403.11 - Ben hyp kid w cr kid V | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
| I12.0 | 403.91 - Hyp kid NOS w cr kid V | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
Patient Education
Chronic Kidney Disease
You have two kidneys, each about the size of your fist. Their main job is to filter your blood. They remove wastes and extra water, which become urine. They also keep the body's chemicals balanced, help control blood pressure, and make hormones.
Chronic kidney disease (CKD) means that your kidneys are damaged and can't filter blood as they should. This damage can cause wastes to build up in your body. It can also cause other problems that can harm your health. Diabetes and high blood pressure are the most common causes of CKD.
The kidney damage occurs slowly over many years. Many people don't have any symptoms until their kidney disease is very advanced. Blood and urine tests are the only way to know if you have kidney disease.
Treatments cannot cure kidney disease, but they may slow kidney disease. They include medicines to lower blood pressure, control blood sugar, and lower cholesterol. CKD may still get worse over time. Sometimes it can lead to kidney failure. If your kidneys fail, you will need dialysis or a kidney transplantation.
You can take steps to keep your kidneys healthier longer:
- Choose foods with less salt (sodium)
- Control your blood pressure; your health care provider can tell you what your blood pressure should be
- Keep your blood sugar in the target range, if you have diabetes
- Limit the amount of alcohol you drink
- Choose foods that are healthy for your heart: fruits, vegetables, whole grains, and low-fat dairy foods
- Lose weight if you are overweight
- Be physically active
- Don't smoke
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
High Blood Pressure
What is blood pressure?
Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is called diastolic pressure.
Your blood pressure reading uses these two numbers. Usually the systolic number comes before or above the diastolic number. For example, 120/80 means a systolic of 120 and a diastolic of 80.
How is high blood pressure diagnosed?
High blood pressure usually has no symptoms. So the only way to find out if you have it is to get regular blood pressure checks from your health care provider. Your provider will use a gauge, a stethoscope or electronic sensor, and a blood pressure cuff. He or she will take two or more readings at separate appointments before making a diagnosis.
| Blood Pressure Category | Systolic Blood Pressure | Diastolic Blood Pressure | |
|---|---|---|---|
| Normal | Less than 120 | and | Less than 80 |
| High Blood Pressure (no other heart risk factors) | 140 or higher | or | 90 or higher |
| High Blood Pressure (with other heart risk factors, according to some providers) | 130 or higher | or | 80 or higher |
| Dangerously high blood pressure - seek medical care right away | 180 or higher | and | 120 or higher |
For children and teens, the health care provider compares the blood pressure reading to what is normal for other kids who are the same age, height, and sex.
What are the different types of high blood pressure?
There are two main types of high blood pressure: primary and secondary high blood pressure.:
- Primary, or essential, high blood pressure is the most common type of high blood pressure. For most people who get this kind of blood pressure, it develops over time as you get older.
- Secondary high blood pressure is caused by another medical condition or use of certain medicines. It usually gets better after you treat that condition or stop taking the medicines that are causing it.
Why do I need to worry about high blood pressure?
When your blood pressure stays high over time, it causes the heart to pump harder and work overtime, possibly leading to serious health problems such as heart attack, stroke, heart failure, and kidney failure.
What are the treatments for high blood pressure?
Treatments for high blood pressure include heart-healthy lifestyle changes and medicines.
You will work with your provider to come up with a treatment plan. It may include only the lifestyle changes. These changes, such as heart-healthy eating and exercise, can be very effective. But sometimes the changes do not control or lower your high blood pressure. Then you may need to take medicine. There are different types of blood pressure medicines. Some people need to take more than one type.
If your high blood pressure is caused by another medical condition or medicine, treating that condition or stopping the medicine may lower your blood pressure.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Kidney Failure
Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body may retain excess fluid and not make enough red blood cells. This is called kidney failure.
If your kidneys fail, you need treatment to replace the work they normally do. The treatment options are dialysis or a kidney transplant. Each treatment has benefits and drawbacks. No matter which treatment you choose, you'll need to make some changes in your life, including how you eat and plan your activities. But with the help of health care providers, family, and friends, most people with kidney failure can lead full and active lives.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
