Hyp hrt and chr kdny dis w/o hrt fail, w stg 5 chr kdny/ESRD

This code signifies a patient diagnosed with both hypertensive heart disease and chronic kidney disease, specifically reaching stage 5 or end-stage renal disease (ESRD). Importantly, this diagnosis excludes any co-occurring heart failure. It describes the advanced renal impairment in the context of hypertension affecting the heart.

Apply this code when documentation clearly indicates a diagnosis of hypertensive heart disease and chronic kidney disease, stage 5 or ESRD, without any mention of heart failure. This is appropriate for patients undergoing dialysis or preparing for kidney transplant due to ESRD, where hypertension is also a contributing factor to cardiac issues.

• Ensure documentation explicitly states "without heart failure" or clearly omits any mention of heart failure.
• Verify the specific stage of chronic kidney disease is documented as stage 5 or ESRD.
• Do not use if heart failure is present; a different code from the I13 category would be more appropriate.