Hyp hrt & chr kdny dis w/o hrt fail, w stg 1-4/unsp chr kdny

This code signifies a patient diagnosed with both hypertension affecting the heart and chronic kidney disease (CKD), specifically stages 1 through 4, or when the CKD stage is not documented. Importantly, this diagnosis excludes any co-occurring heart failure.

Apply this code when documentation clearly states hypertensive heart disease and CKD stages 1-4, or unspecified CKD, without mention of heart failure. This is appropriate for patients whose hypertension is identified as the underlying cause of their cardiac and renal conditions.

• Ensure documentation explicitly links hypertension to both the heart and kidney conditions.
• Do not use this code if heart failure is present; a different code from the I13 category would be more appropriate.
• Always attempt to clarify the specific stage of CKD if "unspecified" is documented, as more specific codes exist.