I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease is I13.11 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
I10-I1A: Hypertensive diseases (I10-I1A)
Category I13
6 codes (4 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to I13.11:

  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) › cardiorenal (disease) › without heart failure › with stage 5 or end stage renal disease
Use Additional Code
  • code to identify the stage of chronic kidney disease (N18.5, N18.6)

U.S. Hospital Utilization

  • An estimated 14,875 U.S. inpatient stays in 2023 included I13.11 among the documented diagnoses.
  • 1,760 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Presumed relationship due to Index term “with”

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.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.9.a
Provider must link conditions not specifically indexed as related

For hypertension and conditions not specifically linked by relational terms such as “with,” “associated with” or “due to” in the classification, provider documentation must link the conditions in order to code them as related.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.9.a

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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