ICD-10 Coding for Hypertensive Kidney Disease(I12.9, I12.0)
Complete ICD-10-CM coding and documentation guide for Hypertensive 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 Kidney Disease
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 chronic kidney disease, or unspecified chronic kidney disease | Use when hypertension is documented with CKD stages 1-4. |
|
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease 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 hypertensive kidney disease
Essential facts and insights about Hypertensive Kidney Disease
Primary ICD-10-CM Codes for hypertensive kidney disease
Decision Criteria
clinical Criteria
- Documented hypertension with CKD stage 1-4
Applicable To
- Hypertensive CKD stage 1-4
Excludes
- Hypertensive heart AND chronic kidney disease (I13.-)
Clinical Validation Requirements
- eGFR <60 for ≥3 months
- Blood pressure >130/80
Code-Specific Risks
- Incorrectly coding 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 chronic kidney disease or end stage renal disease
Use when hypertension is documented with CKD stage 5 or ESRD.
Applicable To
- Hypertensive CKD stage 5
- Hypertensive ESRD
Excludes
- Hypertensive heart AND chronic kidney disease (I13.-)
Clinical Validation Requirements
- eGFR <15
- Dialysis orders
Coding Notes
Ensure ESRD is documented if applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic kidney disease stages 1-4
N18.1-N18.4Chronic kidney disease stage 5 or ESRD
N18.5-N18.6Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertensive 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 treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always include eGFR values in documentation.
Impact
Reimbursement: May result in lower reimbursement due to incorrect DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and research.
Mitigation Strategy
Always link hypertension with CKD using I12.x codes.
Impact
Hypertension must be sequenced before CKD stage.
Mitigation Strategy
Educate providers on correct 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 Kidney Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertensive Kidney Disease
Use these documentation templates to ensure complete and accurate documentation for Hypertensive Kidney Disease. These templates include all required elements for proper coding and billing.
Hypertensive CKD with stage 3
Specialty: NephrologyRequired Elements
- Hypertension diagnosis
- CKD stage
- eGFR values
- Blood pressure readings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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