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
I13.0 is a billable, specific ICD-10-CM code for hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. It is valid for submission on a claim.
Check I13.0 with the rest of the claim: free scrubberOther codes that can never be billed with I13.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
I13.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 226 Heart Failure, Except End Stage and Acute0.360 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
I13.0 is named in 35 Medicare coverage policies: 35 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
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Alphabetic index entries that lead here
- Hypertension, hypertensive›cardiorenal›with heart failure
- Hypertension, hypertensive›cardiorenal›with heart failure›with stage 1 through stage 4 chronic kidney disease
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.