Is I12.0 a billable ICD-10-CM code?

Yes. I12.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I12.0 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Hypertensive diseases (I10-I1A).

I12.0

I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease

Billable / specific codeICD-10-CM

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.

Use additional code

Add a secondary code to capture the detail described below.

code to identify the stage of chronic kidney disease (N18.5, N18.6)

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.

Medicare coverage

I12.0 is named in 40 Medicare coverage policies — 40 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How I12.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I12.0.

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)

Related codes at this level

Codes that share I12. If I12.0 is not quite right, the correct code is usually one of these.

I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Questions about I12.0

Is I12.0 a billable ICD-10-CM code?: Yes. I12.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I12.0 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Hypertensive diseases (I10-I1A).