Hyp chr kidney disease w stage 5 chr kidney disease or ESRD

This code signifies a patient diagnosed with hypertension that has led to chronic kidney disease (CKD) which has progressed to its most severe stage (Stage 5) or end-stage renal disease (ESRD). This indicates significant and irreversible kidney damage requiring dialysis or transplant.

Apply this code when documentation clearly states a causal link between hypertension and the patient's CKD, specifically when the CKD is classified as Stage 5 or ESRD. This is appropriate for patients undergoing dialysis due to hypertensive nephropathy or those being evaluated for kidney transplant due to this etiology.

• Always ensure documentation explicitly links hypertension as the cause of the CKD.
• Do not use this code if the CKD is not specified as Stage 5 or ESRD; use the appropriate code for the documented CKD stage.
• Sequence this code before any codes for dialysis status (e.g., Z99.2) or transplant complications.