Skip to main content
Call AIBook a demo

ICD-10-CM I13.2: Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

I13.2 is the billable ICD-10-CM code for hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease, in category I13 (Hypertensive heart and chronic kidney disease) of the Hypertensive diseases section. As a principal diagnosis it groups to MS-DRG 008 Simultaneous Pancreas, Islet Cell and Kidney Transplant, MS-DRG 019 Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis (MDC PRE Pre-MDC (transplants, tracheostomy, ECMO)); or MS-DRG 291 Heart Failure and Shock with MCC, MS-DRG 292 Heart Failure and Shock with CC, MS-DRG 293 Heart Failure and Shock without CC/MCC (MDC 05 MDC 05: Diseases and Disorders of the Circulatory System). It maps to HCC 226 (Heart Failure, Except End-Stage and Acute) and HCC 326 (Chronic Kidney Disease, Stage 5) in CMS-HCC V28. As a secondary diagnosis it is a CC, excluded with 26 principal diagnoses. 36 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
I13.2
billable FY2027 ICD-10-CM code
Category
I13 Hypertensive heart and chronic kidney disease
Chapter
9: Diseases of the circulatory system (I00-I99)
CC/MCC (MS-DRG v44)
CC
CMS-HCC V28
HCC 226, HCC 326
POA reporting
Required

Tabular list notes for I13.2

Use additional code
  • code to identify type of heart failure (I50.-)
  • code to identify the stage of chronic kidney disease (N18.5, N18.6)

Inherited from I13 (Hypertensive heart and chronic kidney disease)

Includes
  • any condition in I11.- with any condition in I12.-
  • cardiorenal disease
  • cardiovascular renal disease

MS-DRG grouping when I13.2 is the principal diagnosis

MS-DRG v44 groups for I13.2 as principal diagnosis
MDCMS-DRGs
PRE Pre-MDC (transplants, tracheostomy, ECMO)008019
05 MDC 05: Diseases and Disorders of the Circulatory System291292293
15 MDC 15: Newborns and Other Neonates with Conditions Originating in Perinatal Period791793

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for I13.2 shows the full grouping logic.

CC/MCC status and inpatient edits

As a secondary diagnosis, I13.2 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 26 codes in its exclusion list. Check I13.2 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

In the PY2027 mapping, I13.2 maps to HCC 226 (Heart Failure, Except End-Stage and Acute), HCC 326 (Chronic Kidney Disease, Stage 5). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list I13.2

36 current Medicare billing and coding articles list I13.2 among the diagnoses that support medical necessity for the services they cover.

For teams evaluating QuickIntell software

Evaluate software for diagnosis coding review

If your team codes diagnoses at volume, review how QuickCode supports qualified coder review of documentation, specificity queries and the billing handoff. Confirm the code sets, settings and reviewer responsibilities during evaluation; a code reference is not a coding determination for a patient.

Evaluate QuickCode for diagnosis codingSee risk adjustment review
Book a software demoAsk about a software workflow

Optional software evaluation, not payer support or help with an individual claim. For coverage or payment decisions, use the official sources on this page. Do not include patient information in a demo booking or inquiry.

Frequently asked questions

What does ICD-10-CM I13.2 mean?

I13.2 means hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease. It is one of 4 billable codes under I13, hypertensive heart and chronic kidney disease.

What else is coded with I13.2?

The tabular instructions at I13.2: code to identify type of heart failure (I50.-); code to identify the stage of chronic kidney disease (N18.5, N18.6).

Which MS-DRG does I13.2 group to?

As the principal diagnosis, I13.2 groups to MS-DRG 008 Simultaneous Pancreas, Islet Cell and Kidney Transplant, MS-DRG 019 Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis (MDC PRE Pre-MDC (transplants, tracheostomy, ECMO)); or MS-DRG 291 Heart Failure and Shock with MCC, MS-DRG 292 Heart Failure and Shock with CC, MS-DRG 293 Heart Failure and Shock without CC/MCC (MDC 05 MDC 05: Diseases and Disorders of the Circulatory System) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Does I13.2 map to an HCC?

Yes: HCC 226, Heart Failure, Except End-Stage and Acute; HCC 326, Chronic Kidney Disease, Stage 5, in the PY2027 CMS-HCC V28 mapping.

Is I13.2 a CC or MCC?

I13.2 is a CC under MS-DRG v44; 26 principal diagnoses exclude it.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.