MCMCB Pro
I12

I12Hypertensive chronic kidney disease

Non-billable headerICD-10-CM

I12 is a non-billable header ICD-10-CM code for hypertensive chronic kidney disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • acute kidney failure (N17.-)

Includes

Conditions this code covers.

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

Other codes that can never be billed with I12

These codes carry an Excludes1 note pointing at I12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I12 alone.

  • N26Unspecified contracted kidney

Risk adjustment

I12 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I12

2 child codes. Green means billable.

Questions about I12

Is I12 a billable ICD-10-CM code?
No. I12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I12 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Hypertensive diseases (I10-I1A).
What cannot be coded together with I12?
I12 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.