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

This code signifies a complex condition where a patient experiences both heart failure and advanced chronic kidney disease (stage 5 or end-stage renal disease) as a direct consequence of long-standing hypertension. It indicates a systemic impact of uncontrolled high blood pressure on both cardiac and renal function.

Apply this code when documentation explicitly states a diagnosis of hypertensive heart disease with heart failure, and concurrently, chronic kidney disease is specified as stage 5 or end-stage renal disease, with a clear causal link to hypertension. Supporting documentation should include physician notes detailing the hypertensive etiology for both the heart failure and the advanced CKD.

• Ensure the documentation clearly links the heart failure and CKD to hypertension.
• Verify the specific stage of chronic kidney disease is documented as stage 5 or ESRD.
• This code is a combination code; do not code heart failure and CKD separately if this code is applicable.