ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I12.9

Billable / Specific

Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

I12
Block
2
Synonyms
499
LCDs
26
Payer Policies
72
Linked CPTs

About ICD-10-CM I12.9

ICD-10-CM code I12.9 represents Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. This is a billable/specific code in the Circulatory System chapter (block I12). The 2026 edition of ICD-10-CM I12.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I12.9. Per CMS ICD-10-CM Tabular 2026.

  • Hypertensive chronic kidney disease NOS
  • Hypertensive renal disease NOS

Use Additional Code

When coding I12.9, also report these additional codes when applicable.

  • code to identify the stage of chronic kidney disease (N18.1-N18.4, N18.9)

Medicare Advantage HCC Impact

ESRD-HCC
Category 139

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for I12.9

Local Coverage Determinations (LCDs) from CMS MACs that list I12.9 as a covered diagnosis.

499 LCDs

Showing top 10 of 499 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8918 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8936 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8910 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT 70548 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8913 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8912 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8914 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT 70547 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8901 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8902 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I12.9.

26 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026
Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
Policy ID: ART-54923
Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423

CPT Codes Commonly Billed with I12.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

72 linkages
  • 93979 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93975 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93976 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93978 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93980 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 93981 CMS LCD: Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies CMS LCD
  • 36254 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36252 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 36247 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD
  • 75630 CMS LCD: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography CMS LCD

Convert I12.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I12.9 40300 10000
I12.9 40310 10000
I12.9 40390 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I12.9

Other codes in section I10-I1A (Hypertensive diseases).

ICD-10 I12.9, Billing FAQ

Is ICD-10 code I12.9 billable? +

Yes, I12.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I12.9? +

ICD-10 I12.9 includes: Hypertensive chronic kidney disease NOS; Hypertensive renal disease NOS.

What CPT codes are commonly billed with I12.9? +

Procedures frequently paired with I12.9 include: 93979, 93975, 93976, 93978, 93980.

What ICD-9 codes does I12.9 map to? +

Per CMS GEMs, I12.9 maps to ICD-9 codes: 40300, 40310, 40390. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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