ICD-10 Code I13.2 – Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I13.2 – Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
What it is
This code identifies a combination of hypertensive heart disease, chronic kidney disease, and heart failure, with stage 5 CKD or end-stage renal disease. Use it when the record links all three conditions to hypertension.
Clinical signs
Clinical features vary; refer to documentation. You may see documented heart failure, chronic kidney disease stage 5 or ESRD, and a provider statement connecting these conditions to hypertension.
When to use this code
Use I13.2 when the clinician documents hypertensive heart disease with heart failure and stage 5 CKD or ESRD in the same patient. The hypertension must be the cause of both the heart and kidney disease components. Check documentation for the specific type of heart failure and renal status.
Do not use for
Do not use this code if heart failure or CKD is present without a documented hypertensive link. If CKD is not stage 5 or ESRD, or if the record does not support the combined diagnosis, check documentation.
Coding tip
Assign additional codes for the specific heart failure and CKD stage only when the record supports them.