2021 ICD-10-CM Diagnosis Code I12.0

Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • I12.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Hyp chr kidney disease w stage 5 chr kidney disease or ESRD
  • The 2021 edition of ICD-10-CM I12.0 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of I12.0 - other international versions of ICD-10 I12.0 may differ.
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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify the stage of chronic kidney disease (
    ICD-10-CM Diagnosis Code N18.5

    Chronic kidney disease, stage 5

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • chronic kidney disease, stage 5 requiring chronic dialysis (N18.6)
    N18.5
    ,
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Chronic kidney disease requiring chronic dialysis
    Use Additional
    • code to identify dialysis status (Z99.2)
    N18.6
    )
The following code(s) above I12.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I12.0:
  • I00-I99
    2021 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
  • I10-I16
    2021 ICD-10-CM Range I10-I16

    Hypertensive diseases

    Type 1 Excludes
    • neonatal hypertension (P29.2)
    • primary pulmonary hypertension (I27.0)
    Type 2 Excludes
    • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Hypertensive diseases
  • I12
    ICD-10-CM Diagnosis Code I12

    Hypertensive chronic kidney disease

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • any condition in N18 and N26 - due to hypertension
    • arteriosclerosis of kidney
    • arteriosclerotic nephritis (chronic) (interstitial)
    • hypertensive nephropathy
    • nephrosclerosis
    Type 1 Excludes
    • hypertension due to kidney disease (I15.0, I15.1)
    • renovascular hypertension (I15.0)
    • secondary hypertension (I15.-)
    Type 2 Excludes
    • acute kidney failure (N17.-)
    Hypertensive chronic kidney disease
Approximate Synonyms
  • Benign hypertensive ckd, w esrd
  • Chronic kidney disease stage 5 due to benign hypertension
  • Chronic kidney disease stage 5 due to hypertension
  • Chronic kidney disease, esrd due to benign hypertension
  • Chronic kidney failure with hypertension
  • Diabetes 1 with end stage renal disease on dialysis
  • Diabetes 2 with end stage renal disease on dialysis
  • Diabetes type 2, severe chronic kidney disease
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension, on dialysis
  • End stage renal disease on dialysis due to hypertension
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertension in chronic kidney disease stage 5 due to type 2 diabetes mellitus
  • Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 1 diabetes mellitus
  • Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertensive chronic kidney disease on dialysis
  • Hypertensive chronic kidney disease with dialysis
  • Hypertensive chronic kidney disease, severe
  • Hypertensive kidney disease with kidney failure
  • Malignant htn ckd w esrd
  • Malignant htn ckd w esrd on dialysis
  • Malignant hypertensive chronic kidney disease stage 5
  • Malignant hypertensive chronic renal disease, stage 5
  • Malignant hypertensive end stage renal disease
  • Malignant hypertensive end stage renal disease on dialysis
  • Severe chronic kidney failure with hypertension
  • Severe chronic kidney failure with hypertension (htn) on dialysis
ICD-10-CM I12.0 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 019 Simultaneous pancreas and kidney transplant with hemodialysis
  • 673 Other kidney and urinary tract procedures with mcc
  • 674 Other kidney and urinary tract procedures with cc
  • 675 Other kidney and urinary tract procedures without cc/mcc
  • 682 Renal failure with mcc
  • 683 Renal failure with cc
  • 684 Renal failure without cc/mcc

Convert I12.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to I12.0:
  • Code Also: I27.29
    ICD-10-CM Diagnosis Code I27.29

    Other secondary pulmonary hypertension

      2018 - New Code 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Group 5 pulmonary hypertension
    • Pulmonary hypertension with unclear multifactorial mechanisms
    • Pulmonary hypertension due to hematologic disorders
    • Pulmonary hypertension due to metabolic disorders
    • Pulmonary hypertension due to other systemic disorders
    Code Also
    • other associated disorders, if known, such as:
    • chronic myeloid leukemia (C92.10-C92.22)
    • essential thrombocythemia (D47.3)
    • Gaucher disease (E75.22)
    • hypertensive chronic kidney disease with end stage renal disease (I12.0, I13.11, I13.2)
    • hyperthyroidism (E05.-)
    • hypothyroidism (E00-E03)
    • polycythemia vera (D45)
    • sarcoidosis (D86.-)

Diagnosis Index entries containing back-references to I12.0:
  • Disease, diseased - see also Syndrome
    • end stage renal (ESRD) N18.6
      ICD-10-CM Diagnosis Code N18.6

      End stage renal disease

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Chronic kidney disease requiring chronic dialysis
      Use Additional
      • code to identify dialysis status (Z99.2)
      • due to hypertension I12.0
    • renal (functional) (pelvis) N28.9
      - see also Disease, kidney
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
      • end-stage (failure) N18.6
        ICD-10-CM Diagnosis Code N18.6

        End stage renal disease

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Chronic kidney disease requiring chronic dialysis
        Use Additional
        • code to identify dialysis status (Z99.2)
        • due to hypertension I12.0
  • Failure, failed
    • renal N19
      ICD-10-CM Diagnosis Code N19

      Unspecified kidney failure

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Uremia NOS
      Type 1 Excludes
      • acute kidney failure (N17.-)
      • chronic kidney disease (N18.-)
      • chronic uremia (N18.9)
      • extrarenal uremia (R39.2)
      • prerenal uremia (R39.2)
      • renal insufficiency (acute) (N28.9)
      • uremia of newborn (P96.0)
      • end stage (chronic) N18.6
        ICD-10-CM Diagnosis Code N18.6

        End stage renal disease

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Chronic kidney disease requiring chronic dialysis
        Use Additional
        • code to identify dialysis status (Z99.2)
        • due to hypertension I12.0
  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) I10
    ICD-10-CM Diagnosis Code I10

    Essential (primary) hypertension

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Questionable As Admission Dx
    Includes
    • high blood pressure
    • hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
    Type 1 Excludes
    • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
    Type 2 Excludes
    • essential (primary) hypertension involving vessels of brain (I60-I69)
    • essential (primary) hypertension involving vessels of eye (H35.0-)
    • kidney I12.9
      ICD-10-CM Diagnosis Code I12.9

      Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Hypertensive chronic kidney disease NOS
      • Hypertensive renal disease NOS
      Use Additional
      • with
        • stage 5 chronic kidney disease I12.0 (CKD) or end stage renal disease (ESRD)

ICD-10-CM Codes Adjacent To I12.0
I09.2 Chronic rheumatic pericarditis
I09.8 Other specified rheumatic heart diseases
I09.81 Rheumatic heart failure
I09.89 Other specified rheumatic heart diseases
I09.9 Rheumatic heart disease, unspecified
I10 Essential (primary) hypertension
I11 Hypertensive heart disease
I11.0 Hypertensive heart disease with heart failure
I11.9 Hypertensive heart disease without heart failure
I12 Hypertensive chronic kidney disease
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13 Hypertensive heart and chronic kidney disease
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.1 Hypertensive heart and chronic kidney disease without heart failure
I13.10 …… with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11 …… with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15 Secondary hypertension
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.