ICD-10 requires first using an I12 code for the combined diagnosis of hypertension and chronic kidney disease:I12. 0, Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end-stage renal disease,I12.
ICD-10-CM Code for Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I12. 9.
Code N18. 6, end-stage renal disease, is to be reported for CKD that requires chronic dialysis. relationship between diabetes and CKD when both conditions are documented in the medical record.
Hypertension is a frequent complication of chronic renal failure (ESRD).
ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.
Renal hypertension, also called renovascular hypertension, is elevated blood pressure caused by kidney disease. It can usually be controlled by blood pressure drugs. Some people with renal hypertension can be helped by angioplasty, stenting, or surgery on the blood vessels of the kidney.
N18. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A patient with the diagnosis of ESRD requires chronic dialysis. Per the Official Guidelines for Coding and Reporting, Section I.C. 14a. 1, If both a stage of CKD and ESRD are documented, the coding professional would assign code N18.
N18. 6 is coded for ESRD. N18. 9 is the ICD-10-CM code for unspecified CKD.
Initiation of dialysis may have a substantial impact on the management of hypertension, as dialysis represents a potent therapeutic tool to remove sodium and fluid excess and improve BP control. Thus, hypertension prevalence in dialysis patients may appear lower than in those with pre-dialysis CKD.
End-Stage Renal Disease (ESRD) is a medical condition in which a person's kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life.
How does high blood pressure affect the kidneys. High blood pressure can constrict and narrow the blood vessels, which eventually damages and weakens them throughout the body, including in the kidneys. The narrowing reduces blood flow. If your kidneys' blood vessels are damaged, they may no longer work properly.