ICD-9 Code 403.90

Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified

Not Valid for Submission

403.90 is a legacy non-billable code used to specify a medical diagnosis of hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9:	403.90
Short Description:	Hy kid NOS w cr kid I-IV
Long Description:	Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified

Convert 403.90 to ICD-10

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

I12.9 - Hypertensive chronic kidney disease w stg 1-4/unsp chr kdny

Code Classification

Diseases of the circulatory system (390–459)
- Hypertensive disease (401-405)
  - 403 Hypertensive renal disease

Information for Medical Professionals

Index to Diseases and Injuries

References found for the code 403.90 in the Index of Diseases and Injuries:

Arterionephrosclerosis SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Arteriosclerosis arteriosclerotic artery deformans diffuse disease endarteritis general obliterans obliterative occlusive senile with calcification 440.9
- kidney SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- nephrosclerosis SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- renal SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
  - arterioles SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
  - artery 440.1

Atrophy atrophic
- kidney senile SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Sclerosis renal 587
  - with hypertension SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Bright s
- disease SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Nephritis 583.9
  - arteriosclerotic SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Disease diseased SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Syndrome
- Bright s SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Nephritis 583.9
  - arteriosclerotic SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- renal functional pelvis SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Disease kidney 593.9
  - hypertensive SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- renovascular arteriosclerotic SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Glomerulonephritis SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Nephritis 583.9
- arteriolar SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- arteriosclerotic SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Hypertension hypertensive arterial arteriolar crisis degeneration disease essential fluctuating idiopathic intermittent labile low renin orthostatic paroxysmal primary systemic uncontrolled vascular 401.0. 401.1. 401.9
- with
  - chronic kidney disease
    - stage I through stage IV or unspecified 403.00. 403.10. 403.90
  - renal kidney involvement only conditions classifiable to 585 587 EXCLUDES Excludes
    An excludes note under a code indicates that the terms excluded from the code are to be coded elsewhere. In some cases the codes for the excluded terms should not be used in conjunction with the code from which it is excluded. An example of this is a congenital condition excluded from an acquired form of the same condition. The congenital and acquired codes should not be used together. In other cases, the excluded terms may be used together with an excluded code. An example of this is when fractures of different bones are coded to different codes. Both codes may be used together if both types of fractures are present. conditions classifiable to 584 SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney . 403.00. 403.10. 403.90
    - with heart involvement see Hypertension cardiorenal failure and sclerosis SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney . 403.01. 403.11. 403.91
    - sclerosis without failure SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney . 403.00. 403.10. 403.90
- due to
  - glomerulosclerosis SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.00. 403.10. 403.90
- kidney. 403.00 403.10. 403.90
  - with
    - chronic kidney disease
      - stage I through stage IV or unspecified 403.00. 403.10. 403.90
      - stage V or end stage renal disease . 403.01. 403.11. 403.91
    - heart involvement conditions classifiable to 429.0 429.3 429.8 429.9 due to hypertension SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension cardiorenal . 404.00. 404.10. 404.90
    - hypertensive heart disease conditions classifiable to 402 SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension cardiorenal . 404.00. 404.10. 404.90
- renal disease SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney . 403.00. 403.10. 403.90
- secondary NEC NEC "Not elsewhere classifiable"
  This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular.. 405.09. 405.19. 405.99
  - due to
    - glomerulosclerosis SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.00. 403.10. 403.90

Insufficiency insufficient
- vascular 459.9
  - renal SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Nephritis nephritic albuminuric azotemic congenital degenerative diffuse disseminated epithelial familial focal granulomatous hemorrhagic infantile nonsuppurative excretory uremic 583.9
- acute 580.9
  - hypertensive SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- arteriolar SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- arteriosclerotic SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- cardiac SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- cardiovascular SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- chronic 582.9
  - arteriosclerotic SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
  - hypertensive SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- due to
  - arteriosclerosis SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- hypertensive SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Nephropathy SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Nephritis 583.9
- arteriolar SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- arteriosclerotic SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- hypertensive SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Nephrosclerosis arteriolar arteriosclerotic chronic hyaline SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- gouty 274.10
- hyperplastic arteriolar SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
- senile SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Sclerosis renal 587

Nephrosis nephrotic Epstein s syndrome 581.9
- arteriosclerotic SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Sclerosis sclerotic
- renal 587
  - with
    - hypertension SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
  - arteriolar hyaline SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90
    - hyperplastic SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Sutton and Gull s disease arteriolar nephrosclerosis SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional 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. Hypertension kidney 403.90

Turricephaly 756.0

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 wastes and excess water out of your blood to make urine. They also keep the body's chemical balance, 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.

Treatment may include medicines to lower blood pressure, control blood glucose, and lower blood cholesterol. CKD can get worse over time. CKD may lead to kidney failure. The only treatment options for kidney failure are dialysis or a kidney transplantation.

You can take steps to keep your kidneys healthier longer:

Choose foods with less salt (sodium)
Keep your blood pressure below 130/80
Keep your blood glucose in the target range, if you have diabetes

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

24-hour urine protein
ACE inhibitors
Albumin - serum
Basic metabolic panel
BUN
Chronic Kidney Disease and Medicines: What You Need to Know - NIH (National Kidney Disease Education Program)
Chronic Kidney Disease-Mineral and Bone Disorder - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
Creatinine - urine
Glomerular filtration rate
Kidney biopsy
Medicines and Kidney Disease - NIH (National Kidney Disease Education Program)
Microalbuminuria test
Phosphorus: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
Potassium: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
Protein: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
Renal arteriography
Renal perfusion scintiscan
Renal scan
Renovascular hypertension
Sodium: Tips for People with Chronic Kidney Disease (CKD) - NIH (National Kidney Disease Education Program)
Urinary casts
You, Your Blood Pressure, and Your Kidneys (American Kidney Fund)

[Read 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
Blood pressure measurement
Blood pressure monitors for home
Controlling your high blood pressure
Drug-induced hypertension
High blood pressure
High blood pressure and eye disease
High blood pressure medications
Hypertensive heart disease
Low-salt diet
Malignant hypertension
Renovascular hypertension
Talk with Your Health Care Provider about High Blood Pressure (Agency for Healthcare Research and Quality)

[Read More]

ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 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.

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