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Compare/I12 vs O11

I12 vs O11

I12 (Hypertensive chronic kidney disease) compared with O11 (Pre-existing hypertension with pre-eclampsia), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. I12 carries an Excludes2 note covering O11: “hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I12Hypertensive chronic kidney diseaseO11Pre-existing hypertension with pre-eclampsia
Billing statusNon-billable header

Report instead: I12.0, I12.9

Non-billable header

Report instead: O11.1, O11.2, O11.3, O11.4, O11.5

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionHypertensive chronic kidney disease is a non-billable ICD-10-CM category code (I12).Pre-existing hypertension with pre-eclampsia is a non-billable ICD-10-CM category code (O11).
Includes
any condition in N18 and N26 - due to hypertension
arteriosclerosis of kidney
arteriosclerotic nephritis (chronic) (interstitial)
hypertensive nephropathy
conditions in O10 complicated by pre-eclampsia
pre-eclampsia superimposed pre-existing hypertension
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
code from O10 to identify the type of hypertension

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources