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I12 ICD-10-CM Code: Hypertensive chronic kidney disease

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Hypertensive diseases (I10-I1A)

I12

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Hypertensive chronic kidney disease

Hypertensive chronic kidney disease

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
I1Hypertensive diseases (I10-I1A)
I12Hypertensive chronic kidney disease

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I12 in this effective period.

Excludes 2

Official
  • acute kidney failure (N17.-)

Related Child Codes

Official
I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Includes

Official
  • any condition in N18 and N26 - due to hypertension
  • arteriosclerosis of kidney
  • arteriosclerotic nephritis (chronic) (interstitial)
  • hypertensive nephropathy
  • nephrosclerosis

Excludes 1

Official
  • hypertension due to kidney disease (I15.0, I15.1)
  • renovascular hypertension (I15.0)
  • secondary hypertension (I15.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I12 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I12 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I12 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

I12 is the ICD-10-CM diagnosis code for hypertensive chronic kidney disease. I12 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering hypertensive diseases (i10-i1a).

Header codes like I12 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I12's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • any condition in N18 and N26 - due to hypertension
  • arteriosclerosis of kidney
  • arteriosclerotic nephritis (chronic) (interstitial)
  • hypertensive nephropathy
  • nephrosclerosis

Excludes 1, Do NOT code together

  • hypertension due to kidney disease (I15.0, I15.1)
  • renovascular hypertension (I15.0)
  • secondary hypertension (I15.-)

Excludes 2, Not included here, may code separately

  • acute kidney failure (N17.-)

Child Codes

Code Hierarchy

I12Hypertensive chronic kidney disease
I12Hypertensive chronic kidney disease

More on I12

Referenced in blog posts

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