I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease

I13.11 is the ICD-10-CM diagnosis code for hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease. It belongs to category I13 (hypertensive heart and chronic kidney disease), block I10-I1A (hypertensive diseases) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I13.1 (hypertensive heart and chronic kidney disease without heart failure), I13.11 is specifically for hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease. Related codes cover with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease (I13.10).

Use an additional code to identify the stage of chronic kidney disease (N18.5, N18.6).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 008 (Simultaneous Pancreas, Islet Cell and Kidney Transplant, relative weight 5.5146), DRG 019 (Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis, relative weight 7.5493), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC, relative weight 4.2525), DRG 674 (Other Kidney and Urinary Tract Procedures with CC, relative weight 2.2504), DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC, relative weight 1.5887), DRG 682 (Renal Failure with MCC, relative weight 1.4656) and 2 more, in Pre-MDC and MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 404.02 (hypertensive heart and chronic kidney disease, malignant, without heart failure and with chronic kidney disease stage V or end stage renal disease), 404.12 (hypertensive heart and chronic kidney disease, benign, without heart failure and with chronic kidney disease stage V or end stage renal disease) and 404.92 (hypertensive heart and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage V or end stage renal disease).