Hypertensive heart and chronic kidney disease
ICD-10 I13 is a used to indicate a diagnosis of hypertensive heart and chronic kidney disease.
I13 refers to hypertensive heart disease and chronic kidney disease (CKD), which are interrelated conditions that often coexist due to the effects of hypertension on the cardiovascular and renal systems. Clinically, patients may present with symptoms such as shortness of breath, fatigue, and edema, which can arise from heart failure or fluid overload due to kidney dysfunction. The anatomy involved includes the heart, particularly the left ventricle, which may undergo hypertrophy due to increased workload from hypertension, and the kidneys, which can suffer damage from prolonged high blood pressure, leading to CKD. Disease progression typically follows a pattern where uncontrolled hypertension leads to heart failure and renal impairment, creating a vicious cycle that exacerbates both conditions. Diagnostic considerations include monitoring blood pressure, assessing kidney function through serum creatinine and urine tests, and evaluating cardiac function via echocardiography. Proper diagnosis is crucial for effective management and treatment planning.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I13 encompasses hypertensive heart disease, which includes conditions such as left ventricular hypertrophy and heart failure, as well as chronic kidney disease stages 1-5 that are attributed to hypertension.
I13 should be used when both hypertensive heart disease and chronic kidney disease are present, particularly when hypertension is a contributing factor to the kidney disease. If only one condition is present, use the specific code for that condition.
Documentation should include evidence of hypertension, assessment of heart function (e.g., echocardiogram results), and kidney function tests (e.g., serum creatinine levels) to establish the relationship between these conditions.
