I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

ICD10CM code

#### Name of the Condition
- Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease (ICD-10: I13.10)

#### Summary
This condition involves the combination of high blood pressure affecting both the heart and the kidneys. It does not include heart failure, but it is associated with early to moderate stages of chronic kidney disease (CKD).

#### Causes
- Chronic high blood pressure, known as hypertension, can damage both heart and kidney tissues over time.
- The ongoing stress and strain from high blood pressure can lead to the combination of heart and kidney disease.

#### Risk Factors
- Long-term hypertension and poor blood pressure management.
- Family history of heart disease or kidney problems.
- Lifestyle factors like a high-sodium diet, obesity, and smoking.
- Age and genetic predisposition.

#### Symptoms
- Often asymptomatic in early stages.
- May include high blood pressure readings, swelling (edema) in extremities, and changes in urination patterns.

#### Diagnosis
- Blood pressure monitoring to confirm hypertension.
- Blood tests (e.g., serum creatinine) to assess kidney function.
- Urinalysis to detect proteinuria or other kidney-related changes.
- Imaging studies, such as ultrasounds, to observe kidney structure.

#### Treatment Options
- Antihypertensive medications to control blood pressure.
- Lifestyle modifications including dietary changes and exercise.
- Medications to manage kidney function, such as ACE inhibitors or ARBs.
- Regular monitoring of kidney function and blood pressure.

#### Prognosis and Follow-Up
- Early stages with proper management can lead to a stable condition.
- Regular check-ups are crucial to monitor blood pressure and kidney function.
- Progression can be slowed with lifestyle changes and adherence to treatment.

#### Complications
- If unmanaged, can lead to worsening kidney function or end-stage renal disease (ESRD).
- Increases risk of cardiovascular events such as heart attack or stroke.

#### Lifestyle & Prevention
- Low-sodium diet and healthy eating to manage blood pressure.
- Regular physical activity to maintain a healthy weight.
- Avoidance of smoking and excessive alcohol consumption.
- Regular monitoring of blood pressure and kidney function.

#### When to Seek Professional Help
- Consistently high blood pressure readings.
- Noticeable changes in urination or swelling in the body.
- Unexplained fatigue or sudden weight gain.

#### Additional Resources
- American Heart Association: [heart.org](https://www.heart.org)
- National Kidney Foundation: [kidney.org](https://www.kidney.org)
- Support groups and forums for hypertension and kidney disease.

#### Tips for Medical Coders
- Ensure complete documentation of the stage of chronic kidney disease when coding.
- Avoid confusion with similar codes by verifying absence of heart failure.
- Accurate recording of both heart and kidney assessments is essential for proper coding.

Medical Policies and Guidelines for Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

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