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

ICD-10 I13.10

Billable / Specific

Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

I13
Block
1
Synonyms
493
LCDs
25
Payer Policies
73
Linked CPTs

About ICD-10-CM I13.10

ICD-10-CM code I13.10 represents Hypertensive heart and chronic kidney disease without heart failure, 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 I13). The 2026 edition of ICD-10-CM I13.10 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I13.10. Per CMS ICD-10-CM Tabular 2026.

  • Hypertensive heart disease and hypertensive chronic kidney disease NOS

Use Additional Code

When coding I13.10, 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 I13.10

Local Coverage Determinations (LCDs) from CMS MACs that list I13.10 as a covered diagnosis.

493 LCDs

Showing top 10 of 493 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93018 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 0742T →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78434 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93017 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78429 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78454 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78453 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 75563 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78432 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I13.10.

25 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: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Policy ID: ART-56462

CPT Codes Commonly Billed with I13.10

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

73 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
  • 0077U CMS LCD: Billing and Coding: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) 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

Convert I13.10 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I13.10 40400 10000
I13.10 40410 10000
I13.10 40490 10000

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

ICD-10 I13.10, Billing FAQ

Is ICD-10 code I13.10 billable? +

Yes, I13.10 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 I13.10? +

ICD-10 I13.10 includes: Hypertensive heart disease and hypertensive chronic kidney disease NOS.

What CPT codes are commonly billed with I13.10? +

Procedures frequently paired with I13.10 include: 93979, 93975, 93976, 93978, 93980.

What ICD-9 codes does I13.10 map to? +

Per CMS GEMs, I13.10 maps to ICD-9 codes: 40400, 40410, 40490. 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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