ICD Code I13.10

ICD code I13.10 is hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease.

1. Patient has a documented diagnosis of hypertension.

2. Evidence of chronic kidney disease (CKD) is present, classified as stage 1, stage 2, stage 3, stage 4, or unspecified stage.

3. There is no clinical or diagnostic evidence of heart failure.

4. Diagnostic workup confirms the coexistence of hypertensive heart disease and chronic kidney disease.

5. Symptoms may include elevated blood pressure, abnormal kidney function tests (e.g., elevated creatinine, reduced eGFR), and possible signs of end-organ effects from hypertension or CKD, but without symptoms or findings of heart failure (e.g., no shortness of breath, edema, or pulmonary congestion attributable to heart failure).

Relevant CPT codes that may be used to treat ICD code I13.10 include:

- 99202–99215 (Evaluation and Management services)

- 93000 (Electrocardiogram, routine ECG with at least 12 leads)

- 80047–80048, 80069 (Basic metabolic panel, renal function panel)

- 36415 (Collection of venous blood by venipuncture)

- 90935, 90937, 90945, 90947 (Hemodialysis procedures)

- 99217–99220 (Observation care services)

- 99221–99223 (Initial hospital care)

- 99231–99233 (Subsequent hospital care)

- 99406–99407 (Smoking and tobacco use cessation counseling, if applicable)

- 99495–99496 (Transitional care management services)

- 99497 (Advance care planning)

CPT code selection should be based on the specific services provided and the patient’s clinical needs.

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