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ICD-10 Guide
ICD-10 CodesI15.1

I15.1

Billable

Hypertension secondary to other renal disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I15.1 is a billable code used to indicate a diagnosis of hypertension secondary to other renal disorders.

Key Diagnostic Point:

Hypertension secondary to other renal disorders, classified under ICD-10 code I15.1, refers to elevated blood pressure resulting from underlying renal conditions such as chronic kidney disease, renal artery stenosis, or glomerulonephritis. The kidneys play a crucial role in regulating blood pressure through the renin-angiotensin-aldosterone system (RAAS). When renal function is compromised, this system can become dysregulated, leading to increased vascular resistance and fluid retention, which contribute to hypertension. Clinically, patients may present with symptoms such as headaches, dizziness, or visual disturbances, although many remain asymptomatic until significant damage occurs. Disease progression can lead to further cardiovascular complications, including heart failure, left ventricular hypertrophy, and increased risk of stroke. Diagnostic considerations include a thorough history, physical examination, and laboratory tests such as serum creatinine, urinalysis, and imaging studies to assess renal structure and function. Identifying the underlying renal disorder is essential for effective management of hypertension in these patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of renal pathology and its impact on blood pressure regulation.
  • Treatment complexity: Management may involve addressing the renal disorder, lifestyle modifications, and antihypertensive medications.
  • Documentation requirements: Detailed documentation of renal disorders and their relationship to hypertension is necessary.
  • Coding specificity: Accurate coding requires knowledge of specific renal conditions and their classification.

Audit Risk Factors

  • Common coding errors: Misclassification of primary vs. secondary hypertension.
  • Documentation gaps: Incomplete records of renal conditions leading to hypertension.
  • Billing challenges: Potential denials if the relationship between renal disorder and hypertension is not clearly documented.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Hypertension secondary to renal disorders significantly impacts population health, as it is a leading cause of cardiovascular morbidity and mortality. Effective management of this condition can improve patient outcomes, reduce healthcare utilization, and lower the incidence of complications such as heart failure and stroke. Understanding the epidemiology of hypertension related to renal disorders is essential for developing targeted interventions and quality measures aimed at improving patient care.

ICD-9 vs ICD-10

Hypertension secondary to renal disorders significantly impacts population health, as it is a leading cause of cardiovascular morbidity and mortality. Effective management of this condition can improve patient outcomes, reduce healthcare utilization, and lower the incidence of complications such as heart failure and stroke. Understanding the epidemiology of hypertension related to renal disorders is essential for developing targeted interventions and quality measures aimed at improving patient care.

Reimbursement & Billing Impact

Reimbursement may depend on the clarity of the documentation linking the renal disorder to elevated blood pressure. Common denials can occur if the documentation does not sufficiently support the diagnosis or if the relationship is not clearly established. It is crucial to follow coding guidelines and ensure that all relevant clinical information is included in the medical record to facilitate accurate billing and minimize audit risks.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I15.1?

I15.1 encompasses hypertension secondary to various renal disorders, including chronic kidney disease, renal artery stenosis, and glomerulonephritis. It is essential to document the specific renal condition contributing to the hypertension.

When should I15.1 be used instead of related codes?

I15.1 should be used when hypertension is directly attributable to a renal disorder. If hypertension is primary or due to other causes, appropriate codes such as I10 for essential hypertension should be utilized.

What documentation supports I15.1?

Documentation should include a clear diagnosis of the underlying renal disorder, relevant laboratory results, and a description of how the renal condition contributes to the patient's hypertension.