Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
ICD-10 I13.11 is a billable code used to indicate a diagnosis of hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease.
I13.11 refers to hypertensive heart disease in conjunction with chronic kidney disease (CKD), specifically stage 5 or end-stage renal disease (ESRD), without heart failure. This condition arises when chronic hypertension leads to both cardiac and renal complications. Clinically, patients may present with symptoms related to heart strain, such as chest pain or shortness of breath, alongside signs of kidney dysfunction, including fatigue, fluid retention, and changes in urination patterns. The anatomy involved includes the heart, which may exhibit hypertrophy or other structural changes due to increased workload, and the kidneys, which may show signs of damage or failure due to prolonged hypertension. Disease progression typically involves a gradual decline in kidney function, leading to ESRD, which necessitates dialysis or transplantation. Diagnostic considerations include blood pressure monitoring, renal function tests (e.g., serum creatinine), and imaging studies to assess heart structure and function. Accurate diagnosis is critical to managing both hypertension and CKD effectively, as they are interrelated conditions that can exacerbate each other.
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
I13.11 encompasses hypertensive heart disease and chronic kidney disease stage 5 or ESRD without heart failure. It indicates a significant interplay between chronic hypertension and severe kidney impairment, necessitating careful management of both conditions.
I13.11 should be used when a patient has both hypertensive heart disease and stage 5 CKD or ESRD without heart failure. It is crucial to differentiate it from codes that represent isolated hypertension or CKD without heart involvement.
Documentation should include detailed clinical notes on the patient's hypertension history, current blood pressure readings, renal function tests (e.g., creatinine levels), and any imaging studies that demonstrate cardiac or renal abnormalities.
