The appropriate code from category N18 should be used as a secondary code with a code from category I12 to identify the stage of chronic kidney disease. Unlike hypertension with heart disease, ICD-10-CM presumes a cause-and-effect relationship and classifies chronic kidney disease with hypertension as hypertensive chronic kidney disease. 2) Hypertensive chronic kidney diseaseĪssign codes from category I12, Hypertensive chronic kidney disease, when both hypertension and a condition, classifiable to category N18, Chronic kidney disease (CKD), are present. Sequence according to the circumstances of the admission/encounter.ĩ. The same heart conditions (I50.-, I51.9) with hypertension, but without a stated causal relationship, are coded separately. Use an additional code from category I50, Heart failure, to identify the type of heart failure in those patients with heart failure. Heart conditions classified to I50.-I51.9, are assigned to a code from category I11, Hypertensive heart disease, when a causal relationship is stated (due to hypertension) or implied (hypertensive).
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