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I13.10 ICD-10-CM Code: Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Compare with another code for I13.10Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Risk adjustment
RxHCC V08 category 187

What these terms mean →

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Use additional codeReport with this code when documented
  • Use additional code to identify the stage of chronic kidney disease (N18.1-N18.4, N18.9)
  • Use additional code to identify: (from I10-I1A)
  • exposure to environmental tobacco smoke (Z77.22) (from I10-I1A)
  • history of tobacco dependence (Z87.891) (from I10-I1A)

+3 more in Instructions

Excludes1from I10-I1ANot reported with this code unless documented as unrelated
  • neonatal hypertension (P29.2)
  • primary pulmonary hypertension (I27.0)
Excludes2from I10-I1ANot included here; may be reported together
  • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
IncludesWhat this code covers
  • any condition in I11.- with any condition in I12.- (from I13)
  • cardiorenal disease (from I13)
  • cardiovascular renal disease (from I13)
  • Hypertensive heart disease and hypertensive chronic kidney disease NOS

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I13.10 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on I13.10 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • any condition in I11.- with any condition in I12.-
  • cardiorenal disease
  • cardiovascular renal disease

Source: inherited from I13

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Hypertensive heart disease and hypertensive chronic kidney disease NOS

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from I10-I1A

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from I10-I1A

Use Additional Code

Supplementary codes the tabular list directs you to add.

Coder workflow for I13.10

MedCoder structured workflow — derived from this code’s own official record

Before you code I13.10

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, I13.10 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by acute versus chronic, stage, the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewI13.11

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the record for heart involvement, chronic kidney disease, a documented cause, crisis, resistance, or pregnancy: each moves the case to a different category in I10–I16 and I1A, and the classification presumes the heart and kidney links unless the provider states they are unrelated. The hypertension guideline and the “with” convention (Guidelines I.C.9.a, I.A.15).

    Guide: The "with" convention →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I13.10. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — I13.10 is appropriate when the documentation goes no further.

    ReviewI13.11

  2. Does the documentation support a condition named in I13.10’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP29.2, I27.0

Consider I13.10. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
Stage
The documented stage decides the sibling code; where a Use Additional Code note asks for a stage code, report it as well.
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Heart involvement, chronic kidney disease and its stage, cause, crisis, pregnancy
Each moves the case to a different hypertension category (Guidelines I.C.9.a).
Any detail beyond this code’s title
What the record states that a more specific code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting I13.10(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I13.10: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP29.2, I27.0

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of I13.10(1 note)

    Coding workflow: The conditions named in this note are not included in I13.10. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying I13.10(7 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I13.10 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewN18.9, Z77.22, Z87.891, Z57.31, F17, Z72.0

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewI13.11

Documentation: Both the condition I13.10 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP29.2, I27.0

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with I13.10?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewN18.9, Z77.22, Z87.891, Z57.31, F17, Z72.0

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease is a billable ICD-10-CM diagnosis code (I13.10).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

a. Hypertension The classification presumes a causal relationship between hypertension and heart involvement and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

3) Hypertensive Heart and Chronic Kidney Disease The codes in category I13, Hypertensive heart and chronic kidney disease, are combination codes that include hypertension, heart disease and chronic kidney disease. Assign codes from combination category I13, Hypertensive heart and chronic kidney disease, when there is hypertension with both heart and chronic kidney disease. If heart failure is present, assign an additional code from category I50 to identify the type of heart failure.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

The ap propriate code from category N18, Chronic kidney disease, should be used as a secondary code with a code from category I13 to identify the stage of chronic kidney disease.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

The Includes note at I13 specifies that the conditions included at I11 and I12 are included together in I13. If a patient has hypertension, heart disease and chronic kidney disease, then a code from I13 should be used, not codes from I11 or I12, For patients with both acute renal failure and chronic kidney disease, the acute renal failure should also be coded. Sequence according to the circumstances of the admission/encounter.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 7 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name I13.10 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: I51.5 — Myocardial degeneration (via I13.-), I51.7 — Cardiomegaly (via I13.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Code First instructions across 2 chapters: I50 — Heart failure (via I13.-), N18 — Chronic kidney disease (CKD) (via I13.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 3 Code Also instructions: I16 — Hypertensive crisis (via I13.-), I67.4 — Hypertensive encephalopathy (via I13.-), I87.2 — Venous insufficiency (chronic) (peripheral) (via I13.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 682 (MDC 11), DRG 683 (MDC 11), DRG 684 (MDC 11).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN003 — Chronic kidney disease (default); CIR008 — Hypertension with complications and secondary hypertension.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Chronic kidney disease, Hypertension with complications and secondary hypertension).

E11.22 — Type 2 diabetes mellitus with diabetic chronic kidney disease, E13.22 — Other specified diabetes mellitus with diabetic chronic kidney disease, H35.031 — Hypertensive retinopathy, right eye, H35.032 — Hypertensive retinopathy, left eye, H35.033 — Hypertensive retinopathy, bilateral, I11.0 — Hypertensive heart disease with heart failure, I11.9 — Hypertensive heart disease without heart failure, I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease, I12.9 — Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, I13.0 — Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, I13.11 — Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease, I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease, I15.0 — Renovascular hypertension, I15.1 — Hypertension secondary to other renal disorders, I15.2 — Hypertension secondary to endocrine disorders, I15.8 — Other secondary hypertension, I15.9 — Secondary hypertension, unspecified, I16.0 — Hypertensive urgency, I16.1 — Hypertensive emergency, I16.9 — Hypertensive crisis, unspecified, +58 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Hypertension, hypertensive”; these codes share that main term but sit in a different category of the Tabular List.

B65.9 — Schistosomiasis, unspecified (portal, in), F45.8 — Other somatoform disorders (psychogenic), G93.2 — Benign intracranial hypertension (benign, intracranial), H40.05 — Ocular hypertension (ocular), I10 — Essential (primary) hypertension, I11.0 — Hypertensive heart disease with heart failure (with, heart failure), I11.9 — Hypertensive heart disease without heart failure (heart), I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease (kidney, with, stage 5 chronic kidney disease), I12.9 — Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease (kidney), I15.0 — Renovascular hypertension (renovascular), I15.1 — Hypertension secondary to other renal disorders (due to, renal disorders NEC), I15.2 — Hypertension secondary to endocrine disorders (due to, pheochromocytoma), I15.8 — Other secondary hypertension (secondary NEC, specified NEC), I15.9 — Secondary hypertension, unspecified (secondary NEC), I16.0 — Hypertensive urgency (urgency), I16.1 — Hypertensive emergency (emergency), I16.9 — Hypertensive crisis, unspecified (crisis), I1A.0 — Resistant hypertension (resistant), I26.09 — Other pulmonary embolism with acute cor pulmonale (pulmonary, with, cor pulmonale, acute), I27.0 — Primary pulmonary hypertension (lesser circulation), +51 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Lipid Panel, Thyroid Stimulating Hormone (TSH)

Contextual Map

Every relationship of I13.10 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I13.10 with these 15 related codes in Claim Check

Hierarchy

Use Additional Code

Referenced by Excludes1 notes

  • I51.5 — Myocardial degeneration[Excludes1](via I13.-): “myocardial degeneration due to hypertension and chronic kidney disease (I13.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • I51.7 — Cardiomegaly[Excludes1](via I13.-): “cardiomegaly due to hypertension and chronic kidney disease (I13.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Code First instructions

  • I50 — Heart failure[Code First](via I13.-): “heart failure due to hypertension with chronic kidney disease (I13.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • N18 — Chronic kidney disease (CKD)[Code First](via I13.-): “hypertensive chronic kidney disease (I12.-, I13.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Code Also instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,578 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic), cardiorenal (disease)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic), cardiorenal (disease), without heart failure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic), cardiorenal (disease), without heart failure, with stage 1 through stage 4 chronic kidney disease[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Common coding questions

MedCoder editorial

When is I13.10 the right I13 code?

When hypertension coexists with both heart disease and stage 1-4 (or unspecified) CKD and no heart failure is documented — a pairing the classification presumes without linking language, per the ICD-10 “with” convention. Heart failure moves the combination to I13.0; stage 5 or ESRD without heart failure moves it to I13.11; both together move it to I13.2. The N18.1-N18.4/N18.9 stage code rides along per the Use Additional Code note.

Does I13.10 map to an HCC?

No — without documented heart failure or stage-5 kidney disease, the combination itself carries no V28 category. The companion N18 code still maps by stage, which is one more reason the stage code is never optional.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "I13.10 — Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i13.10-hypertensive-heart-and-chronic-kidney-disease-without-heart-failure-with-stage-1-through-stage-4-chronic-kidney-disease-or-unspecified

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I13.10 in its code family, with their registry titles.

View all codes in the I13 family