ICD-10 Coding for Hypertensive Chronic Kidney Disease(I12.9, I12.0)
Complete ICD-10-CM coding and documentation guide for Hypertensive Chronic Kidney Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertensive Chronic Kidney Disease
I12-I13Primary Range
Hypertensive diseases with chronic kidney disease
This range includes codes for hypertension with chronic kidney disease, which are essential for accurately documenting and coding the condition.
Chronic kidney disease (CKD) stages
This range is used to specify the stage of CKD, which is necessary for complete coding of hypertensive CKD.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 CKD, or unspecified CKD | Use when hypertension is documented with CKD stages 1-4 without heart disease. |
|
| I12.0 | Hypertensive chronic kidney disease with stage 5 CKD or end stage renal disease | Use when hypertension is documented with CKD stage 5 or ESRD. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hypertension with CKD
Essential facts and insights about Hypertensive Chronic Kidney Disease
Primary ICD-10-CM Codes for hypertension chronic kidney disease
Decision Criteria
clinical Criteria
- Presence of hypertension with CKD stages 1-4
Applicable To
- Hypertensive nephropathy
Excludes
- Hypertensive heart and CKD (I13.-)
Clinical Validation Requirements
- eGFR between 15-89 mL/min/1.73m²
- Documentation linking hypertension to CKD
Code-Specific Risks
- Incorrectly using I10 instead of I12.9 when CKD is present.
Coding Notes
- Ensure CKD stage is documented and linked to hypertension.
I12.0 - Hypertensive chronic kidney disease with stage 5 CKD or end stage renal disease
Use when hypertension is documented with CKD stage 5 or ESRD.
Applicable To
- Hypertensive nephropathy with stage 5 CKD or ESRD
Excludes
- Hypertensive heart and CKD (I13.-)
Clinical Validation Requirements
- eGFR <15 mL/min/1.73m² or dialysis dependence
- Documentation linking hypertension to CKD
Coding Notes
Ensure ESRD or dialysis status is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertensive Chronic Kidney Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I12.9.
Impact
Clinical: Inaccurate representation of disease severity., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document eGFR and CKD stage., Query provider if stage is not documented.
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on patient conditions and treatment outcomes.
Mitigation Strategy
Use I12.9 or I12.0 based on CKD stage when hypertension and CKD are documented.
Impact
Failure to sequence I12/I13 codes before CKD stage codes.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hypertensive Chronic Kidney Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertensive Chronic Kidney Disease
Use these documentation templates to ensure complete and accurate documentation for Hypertensive Chronic Kidney Disease. These templates include all required elements for proper coding and billing.
Hypertensive CKD in Nephrology
Specialty: NephrologyRequired Elements
- Linkage of hypertension to CKD
- eGFR and CKD stage
- Treatment plan including antihypertensives
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hypertensive Chronic Kidney Disease? Ask your questions below.