ICD-10 Code 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

Version 2019 Billable Code

Valid for Submission

I13.0 is a billable code used to specify a medical diagnosis of hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: I13.0
Short Description:Hyp hrt & chr kdny dis w hrt fail and stg 1-4/unsp chr kdny
Long Description:Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Hypertensive diseases (I10-I16)
      • Hypertensive heart and chronic kidney disease (I13)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code I13.0 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MCC
  • 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MCC
  • 224 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MCC
  • 225 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITHOUT MCC
  • 226 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 227 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Convert I13.0 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 404.01 - Mal hyp ht/kd I-IV w hf (Approximate Flag)
  • 404.11 - Ben hyp ht/kd I-IV w hf (Approximate Flag)
  • 404.91 - Hyp ht/kd NOS I-IV w hf (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Hypertensive heart AND chronic kidney disease with congestive heart failure
  • Hypertensive heart AND renal disease complicating AND/OR reason for care during childbirth
  • Hypertensive heart AND renal disease in obstetric context
  • Hypertensive heart and renal disease with heart failure
  • Hypertensive heart disease complicating AND/OR reason for care during childbirth
  • Hypertensive heart disease in obstetric context
  • Hypertensive renal disease complicating AND/OR reason for care during childbirth
  • Hypertensive renal disease in obstetric context

Index to Diseases and Injuries

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 the code I13.0 are found in the index:


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 guidance for inclusions, exclusions, descriptions and more. The following references for the code I13.0 are found in the tabular index:


    Information for Patients


    Chronic Kidney Disease

    Also called: CKD

    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

    • ACE inhibitors (Medical Encyclopedia)
    • Chronic kidney disease (Medical Encyclopedia)
    • High Blood Pressure (American Kidney Fund)

    [Learn More]

    Heart Failure

    Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided heart failure

    Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped or is about to stop working. It means that your heart is not able to pump blood the way it should. It can affect one or both sides of the heart.

    The weakening of the heart's pumping ability causes

    • Blood and fluid to back up into the lungs
    • The buildup of fluid in the feet, ankles and legs - called edema
    • Tiredness and shortness of breath

    Common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is more common in people who are 65 years old or older, African Americans, people who are overweight, and people who have had a heart attack. Men have a higher rate of heart failure than women.

    Your doctor will diagnose heart failure by doing a physical exam and heart tests. Treatment includes treating the underlying cause of your heart failure, medicines, and heart transplantation if other treatments fail.

    NIH: National Heart, Lung, and Blood Institute

    • Brain natriutetic peptide test (Medical Encyclopedia)
    • Heart failure - discharge (Medical Encyclopedia)
    • Heart failure - fluids and diuretics (Medical Encyclopedia)
    • Heart failure - home monitoring (Medical Encyclopedia)
    • Heart failure - medicines (Medical Encyclopedia)
    • Heart failure in children - home care (Medical Encyclopedia)
    • Heart failure in children - overview (Medical Encyclopedia)
    • Heart failure overview (Medical Encyclopedia)
    • Pleural effusion (Medical Encyclopedia)
    • Pulmonary edema (Medical Encyclopedia)

    [Learn More]

    High Blood Pressure

    Also called: Benign essential hypertension, Essential hypertension, HBP, HTN, Hypertension

    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. A reading of

    • 119/79 or lower is normal blood pressure
    • 140/90 or higher is high blood pressure
    • Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is called prehypertension. Prehypertension means you may end up with high blood pressure, unless you take steps to prevent it.

    High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure.

    You can control high blood pressure through healthy lifestyle habits such as exercise and the DASH diet and taking medicines, if needed.

    NIH: National Heart, Lung, and Blood Institute

    • ACE inhibitors (Medical Encyclopedia)
    • Blood pressure measurement (Medical Encyclopedia)
    • Blood pressure monitors for home (Medical Encyclopedia)
    • Controlling your high blood pressure (Medical Encyclopedia)
    • Drug-induced hypertension (Medical Encyclopedia)
    • High blood pressure (Medical Encyclopedia)
    • High blood pressure - children (Medical Encyclopedia)
    • High blood pressure and eye disease (Medical Encyclopedia)
    • High blood pressure medications (Medical Encyclopedia)
    • Hypertensive heart disease (Medical Encyclopedia)
    • Low-salt diet (Medical Encyclopedia)
    • Malignant hypertension (Medical Encyclopedia)
    • Renovascular hypertension (Medical Encyclopedia)

    [Learn More]

    ICD-10 Footnotes

    General Equivalence Map Definitions
    The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

    • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
    • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
    • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

    Index of Diseases and Injuries Definitions

    • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
    • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
    • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
    • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
    • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
    • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
    • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
    • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
    • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
    • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
    • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
    • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
    • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.