ICD-10 Code I13.11 – Hypertensive Heart and Chronic Kidney Disease Without Heart Failure, With Stage 5 Chronic Kidney Disease, or End Stage Renal Disease (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I13.11 – Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
What it is
This code identifies hypertensive heart disease with chronic kidney disease, but without heart failure. It also specifies advanced kidney disease: stage 5 chronic kidney disease or end stage renal disease.
Clinical signs
Clinical features vary; refer to documentation. You should see documented hypertension with both cardiac involvement and severe chronic kidney disease, while heart failure is specifically absent.
When to use this code
Use I13.11 when the provider documents hypertensive heart disease and chronic kidney disease together, and also states no heart failure. The record must support stage 5 CKD or end stage renal disease. If the kidney stage is not documented, check documentation before coding.
Do not use for
Do not use this code if heart failure is present, because a different hypertensive heart and kidney disease code applies. Do not use it for hypertension with kidney disease alone or for unspecified CKD stage.
Coding tip
Always confirm both the absence of heart failure and the presence of stage 5 CKD or ESRD in the provider’s note.