ICD-10 Coding for Hypertensive Renal Disease(I12.9, I12.0)
Complete ICD-10-CM coding and documentation guide for Hypertensive Renal Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertensive Renal Disease
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease | Use when CKD stages 1-4 are documented with hypertension. |
|
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | Use when CKD stage 5 or ESRD is documented with hypertension. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hypertensive renal disease
Essential facts and insights about Hypertensive Renal Disease
Primary ICD-10-CM Codes for hypertensive renal disease
Decision Criteria
clinical Criteria
- Presence of hypertension and CKD stage 1-4
Applicable To
- Hypertensive CKD stage 1-4
Excludes
- Hypertensive heart and CKD (I13.-)
Clinical Validation Requirements
- eGFR 25-59 for stage 3b/4
- Documentation of hypertension and CKD
Code-Specific Risks
- Incorrectly coding as essential hypertension (I10) when CKD is present.
Coding Notes
- Ensure documentation links hypertension and CKD.
I12.0 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
Use when CKD stage 5 or ESRD is documented with hypertension.
Applicable To
- Hypertensive CKD stage 5 or ESRD
Excludes
- Hypertensive heart and CKD (I13.-)
Clinical Validation Requirements
- eGFR <15 or dialysis dependence
Coding Notes
Document ESRD status clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertensive Renal Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I12.9.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure eGFR values are documented to specify CKD stage.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of health records.
Mitigation Strategy
Use I12.x codes to reflect the presence of CKD with hypertension.
Impact
Failure to document the correct CKD stage can lead to audit findings.
Mitigation Strategy
Regular training on CKD staging and documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hypertensive Renal Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertensive Renal Disease
Use these documentation templates to ensure complete and accurate documentation for Hypertensive Renal Disease. These templates include all required elements for proper coding and billing.
Nephrology Progress Note
Specialty: NephrologyRequired Elements
- Subjective: Patient history and symptoms
- Objective: Vital signs and lab results
- Assessment: Diagnosis with ICD-10 codes
- Plan: Treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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