2026 ICD-10-CM Diagnosis Code I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
ICD-10-CM Codes›I00–I99›I10-I1A›I13
- Billable — Valid for Submission
- Chronic Condition
I13.11 is a billable ICD-10-CM diagnosis code for hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 673 through 675, 682 through 684. Coders also document this condition as benign hypertensive heart disease. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chronic kidney disease and Hypertension with complications and secondary hypertension.
This medical diagnosis code is frequently used in Cardiology medical specialties to designate conditions such heart failure.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Benign hypertensive heart disease
- Benign hypertensive heart disease and chronic renal disease stage 5
- Chronic kidney disease stage 5 due to hypertension
- Hypertensive heart AND chronic kidney disease stage 5
- Hypertensive heart and renal disease with renal failure
- Hypertensive renal failure
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Use Additional Code
The “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 InjuriesGuidance
Alphabetical index entries that point to this code.
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)
- cardiorenal (disease)
- without heart failure
- with stage 5 or end stage renal disease
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert I13.11 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About I13.11Overview
Is I13.11 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does I13.11 group to?
When hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease is the principal diagnosis on an inpatient stay, it groups to MS-DRG 673, 674, 675, 682, 683, 684, with relative weights from 0.6003 to 4.2016 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of I13.11?
Under the General Equivalence Mappings, hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease converts to ICD-9-CM 404.02 (mal hy ht/kd st V w/o hf), 404.12 (ben hy ht/kd st V w/o hf), and 404.92 (hy ht/kd NOS st V w/o hf). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
