I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I13.2 is a billable, specific ICD-10-CM code for hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease. It is valid for submission on a claim.
Risk adjustment
I13.2 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 226 Heart Failure, Except End Stage and Acute0.360 RAF
- 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
I13.2 is named in 54 Medicare coverage policies — 54 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
- 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
How I13.2 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 I13.2.
- Insufficiency, insufficient›cardiorenal, hypertensive
- Failure, failed›cardiorenal›hypertensive
- Hypertension, hypertensive›cardiorenal›with heart failure›with stage 5 or end stage renal disease
Related codes at this level
Codes that share I13. If I13.2 is not quite right, the correct code is usually one of these.
Questions about I13.2
- Is I13.2 a billable ICD-10-CM code?
- Yes. I13.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I13.2 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Hypertensive diseases (I10-I1A).