Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
ICD-10 I13.2 is a billable code used to indicate a diagnosis of hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease.
I13.2 refers to hypertensive heart and chronic kidney disease with heart failure and stage 5 chronic kidney disease, or end-stage renal disease (ESRD). This condition represents a significant intersection of cardiovascular and renal pathologies. Clinically, patients may present with symptoms of heart failure, such as dyspnea, fatigue, and edema, alongside signs of advanced kidney dysfunction, including oliguria or anuria, elevated serum creatinine, and electrolyte imbalances. The anatomy involved includes the heart, which may exhibit hypertrophy due to chronic hypertension, and the kidneys, which may show glomerulosclerosis and tubular atrophy due to prolonged damage from hypertension. Disease progression typically involves worsening heart function and declining renal function, often leading to a cycle of worsening symptoms and increased morbidity. Diagnostic considerations include comprehensive evaluation through echocardiography to assess heart function and imaging or laboratory tests to evaluate kidney function, such as serum creatinine and urinalysis. Accurate diagnosis is critical 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
I13.2 encompasses hypertensive heart disease, chronic kidney disease stage 5, and heart failure. It specifically includes patients who have both significant heart dysfunction and advanced kidney failure, often requiring dialysis or transplantation.
I13.2 should be used when a patient presents with both heart failure and stage 5 chronic kidney disease. If the patient has heart failure without stage 5 CKD, I13.1 would be more appropriate.
Documentation must include evidence of heart failure symptoms, diagnostic imaging results, and laboratory tests indicating stage 5 chronic kidney disease, such as elevated creatinine levels and a history of hypertension.
