ICDcodes.org
FY2027

I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

BillableUnspecifiedCC

Is I13.0 billable?

Yes, but I13.0 is an unspecified code. I13.0 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, I13.0 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting I13.0 — the more specific alternatives are listed below.

I13.0 at a glance

CodeI13.0
DescriptionHypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does I13.0 group to?

I13.0 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 291Heart Failure and Shock with MCCmedical
  • 292Heart Failure and Shock with CCmedical
  • 293Heart Failure and Shock without CC/MCCmedical

As a secondary diagnosis, I13.0 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is I13.0 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to I13.0. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Hypertension, hypertensivecardiorenalwith heart failure (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)
  • Hypertension, hypertensivecardiorenalwith heart failurewith stage 1 through stage 4 chronic kidney disease (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)

Use additional code

Report an additional code alongside I13.0 to fully describe the condition. I13.0 is sequenced first.

  • code to identify type of heart failure (I50.-)
  • code to identify stage of chronic kidney disease (N18.1-N18.4, N18.9)

Excludes1 — never code together — inherited from I10-I1A

The conditions below can never be reported together with I13.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • neonatal hypertension (P29.2)
  • primary pulmonary hypertension (I27.0)

Use additional code — inherited from I10-I1A

Report an additional code alongside I13.0 to fully describe the condition. I13.0 is sequenced first.

  • 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)

Excludes2 — not included here — inherited from Chapter 9

The conditions below are not part of I13.0, but a patient may have both at the same time. When documentation supports it, I13.0 and the excluded code may both be reported.

  • 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.-)

Excludes2 — not included here — inherited from I10-I1A

The conditions below are not part of I13.0, but a patient may have both at the same time. When documentation supports it, I13.0 and the excluded code may both be reported.

  • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)

How long has I13.0 existed?

I13.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to I13.0?

What other codes are in the I13 family? (2)