ICD-10 Code I13.1 – Hypertensive heart and chronic kidney disease without heart failure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I13.1 – Hypertensive heart and chronic kidney disease without heart failure
What it is
I13.1 identifies combined hypertensive heart disease and chronic kidney disease when heart failure is not documented. Use it when both target organs are affected and the record links the conditions to hypertension.
Clinical signs
Clinical features vary; refer to documentation. Common findings may include evidence of chronic heart disease and chronic kidney disease, with no documented heart failure.
When to use this code
Use I13.1 when the provider documents hypertensive heart disease together with chronic kidney disease and explicitly states there is no heart failure. The record should support both organ involvement and the hypertensive relationship. If the documentation is unclear, check documentation before assigning the code.
Do not use for
Do not use this code if heart failure is documented, because a different hypertensive heart and kidney disease code applies. Also avoid it when CKD or heart disease is present without a documented hypertensive link.
Coding tip
Verify the linked diagnoses and heart failure status in the assessment, problem list, or discharge summary before coding.