Alphabetic Index FY2027

I13.11

Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease

FY2027Chapter 9: Diseases of the circulatory system/I10–I1A Hypertensive diseases

BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - Cardiac and CirculatoryHospital CCIPF Comorbidity · Renal Failure, Chronic

I13.11 (also written I1311) is a billable ICD-10-CM diagnosis code for hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category I13 (Hypertensive heart and chronic kidney disease). The Alphabetic Index lists it under 1 entry. Its coding notes include a Use additional code instruction, 2 Excludes1 entries and 11 Excludes2 entries.

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

The classification presumes hypertension is related to heart and kidney conditions unless the provider documents they are unrelated.

Guidelines I.C.9.aHypertension: presumed link to heart and kidney diseaseRead the official text

Hypertension with heart disease and CKD goes to I13, not I11 or I12. An N18 code is added as a secondary code to give the CKD stage.

Guidelines I.C.9.a.2; I.C.9.a.3Hypertensive heart disease and chronic kidney diseaseRead the official text

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code to identify the stage of chronic kidney disease (N18.5, N18.6)
Also from chapter/block level (6 notes)
Inherited from I10–I1A Hypertensive diseases
  • 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)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Also from chapter/block level (2 notes)
Inherited from I10–I1A Hypertensive diseases
  • neonatal hypertension (P29.2)
  • primary pulmonary hypertension (I27.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (11 notes)
Inherited from I10–I1A Hypertensive diseases
  • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
Inherited from Chapter 9 Diseases of the circulatory system
  • 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.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Cardiac and Circulatory clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 26 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

IPF Comorbidity

On the CMS IPF comorbidity list.

Comorbidity categoryFactor
Renal Failure, Chronic1.08
It counts as a comorbidity when reported as a secondary diagnosis and actively treated during the stay. An IPF receives only one adjustment within a category and can receive adjustments in more than one category.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum B-3 (comorbidity codes with adjustment factor); effective for discharges on or after October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from I13 Hypertensive heart and chronic kidney disease
  • any condition in I11.- with any condition in I12.-
  • cardiorenal disease
  • cardiovascular renal disease

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry