2025 ICD-10-CM code I12.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Circulatory System - Hypertensive diseases Diseases of the circulatory system (I00-I99) Feed
Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end-stage renal disease.
Modifiers may be applicable depending on the circumstances of service.Consult the appropriate modifier guidelines to determine if any modifiers should be applied.
Medical necessity for the diagnosis code is established by the presence of hypertension and stage 5 chronic kidney disease as evidenced by laboratory data and clinical findings. This demonstrates the need for comprehensive medical management to address the associated complications, such as fluid overload, electrolyte imbalances, and anemia.
The clinical responsibility includes diagnosing and managing hypertension and its associated chronic kidney disease.This involves assessing kidney function, managing blood pressure, and determining the need for dialysis or transplantation.The physician must document the severity of the hypertension and the stage of kidney disease.
In simple words: This code describes high blood pressure causing severe kidney damage, requiring treatment like dialysis or a kidney transplant.
This code classifies hypertensive chronic kidney disease where the kidney disease has progressed to stage 5, characterized by severe kidney damage and significantly reduced kidney function, often requiring dialysis or kidney transplant.It's crucial to use additional codes to specify the stage of chronic kidney disease (N18.5, N18.6) for complete clinical documentation.
Example 1: A 65-year-old male with a history of poorly controlled hypertension presents with worsening kidney function, requiring initiation of dialysis.The diagnosis of hypertensive chronic kidney disease with stage 5 chronic kidney disease is made., A 72-year-old female with long-standing hypertension and a history of diabetes mellitus type 2 is diagnosed with stage 5 chronic kidney disease.She undergoes kidney transplantation., A 58-year-old male with a family history of hypertension and renal disease presents with elevated blood pressure and markedly reduced glomerular filtration rate, indicating stage 5 CKD.He requires hemodialysis and ongoing management of his hypertension.
** This code should be used for cases of hypertensive chronic kidney disease with confirmed stage 5 CKD or ESRD.Detailed clinical documentation is essential to support the appropriate coding.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Nephrology, Cardiology, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Dialysis Center