ICD-10 · PDGM grouping
I13 Hypertensive heart and chronic kidney disease
All 4 codes in the I13 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
4
Can lead a claim
4
Cannot lead a claim
0
What CMS assigns to I13
All 4 codes group to MMTA - Cardiac and Circulatory. All 4 count toward the Hypertensive Chronic Kidney Disease comorbidity subgroup. Every code can lead a claim.
- Hypertensive Chronic Kidney Disease: counts toward the high comorbidity tier only in an interaction pair.
Every code in I13
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney diseaseCMS: Hyp hrt & chr kdny dis w hrt fail and stg 1-4/unsp chr kdny | Can lead a claim | H | Hypertensive Chronic Kidney Disease |
| I13.1 Hypertensive heart and chronic kidney disease without heart failure | ||||
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney diseaseCMS: Hyp hrt & chr kdny dis w/o hrt fail, w stg 1-4/unsp chr kdny | Can lead a claim | H | Hypertensive Chronic Kidney Disease |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal diseaseCMS: Hyp hrt and chr kdny dis w/o hrt fail, w stg 5 chr kdny/ESRD | Can lead a claim | H | Hypertensive Chronic Kidney Disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal diseaseCMS: Hyp hrt & chr kdny dis w hrt fail and w stg 5 chr kdny/ESRD | Can lead a claim | H | Hypertensive Chronic Kidney Disease |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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