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Compare/I13 vs I51.5

I13 vs I51.5

I13 (Hypertensive heart and chronic kidney disease) compared with I51.5 (Myocardial degeneration), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I51.5 carries an Excludes1 note covering I13: “myocardial degeneration due to hypertension and chronic kidney disease (I13.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I13Hypertensive heart and chronic kidney diseaseI51.5Myocardial degeneration
Billing statusNon-billable header

Report instead: I13.0, I13.10, I13.11, I13.2

Billable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionHypertensive heart and chronic kidney disease is a non-billable ICD-10-CM category code (I13).Myocardial degeneration is a billable ICD-10-CM diagnosis code (I51.5).
Includes
any condition in I11.- with any condition in I12.-
cardiorenal disease
cardiovascular renal disease
Fatty degeneration of heart or myocardium
Myocardial disease
Senile degeneration of heart or myocardium
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)

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