I12.0: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.0 is a billable, specific ICD-10-CM code for hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease. It is valid for submission on a claim.
Check I12.0 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Excludes1 inherited from the categories above I12.0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above I12.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with I12.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N26Unspecified contracted kidney
Risk adjustment
I12.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 326 Chronic Kidney Disease, Stage 50.815 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I12.0 is named in 31 Medicare coverage policies: 31 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A53026Billing and Coding: Bariatric Surgery Coverage
- A54923Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
- A55336Billing and Coding: Retroperitoneal Ultrasound
Alphabetic index entries that lead here
- Disease, diseased›end stage renal›due to hypertension
- Disease, diseased›renal›end-stage›due to hypertension
- Failure, failed›renal›end stage›due to hypertension
- Hypertension, hypertensive›kidney›with›stage 5 chronic kidney disease(CKD) or end stage renal disease (ESRD)
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.