Learn all about ICD 9 Hypertensive Chronic Kidney Disease (403) Codings:

Hypertensive Chronic Kidney Diseases includes arteriolar nephritis, arteriosclerosis of kidney, renal arterioles, arteriosclerotic nephritis (chronic) (interstitial) as well as hypertensive nephropathy, renal failure, uremia (chronic), nephrosclerosis, renal sclerosis with hypertension, any condition classifiable to 585 with any condition classifiable to 401.

However, it excludes acute kidney failure (584.5-584.9), renal disease stated as not due to hypertension, renovascular hypertension.

Hypertensive Kidney Disease

Hypertensive Kidney Disease is a condition also known as arteriolar nephrosclerosis and is reported with codes from rubric 403. It is characterized by intimal thickening of the afferent arteriole of the glomerulus and due to long-standing or poorly controlled hypertension.

In severe nephrosclerosis, the nephron is deprived of its blood supply, and areas of infarction occur with subsequent scar formation. Renal insufficiency occurs when the kidney is scarred and contracted. In most cases, the patient will eventually develop kidney failure.

ICD 9 Hypertensive Chronic Kidney Disease (403) Codings

This rubric reports chronic kidney disease associated with hypertensive renal disease due to progressive and irreversible destruction of the nephrons and should not be confused with acute renal failure. Acute renal failure is classified to rubric 584 and describes failure of the kidneys to perform their essential function due to trauma, impaired blood flow, toxic substances, bacterial infection, or obstruction of the urinary tract. Both diabetes mellitus and hypertension have associated kidney manifestations such as chronic kidney disease.


ICD 9 Codes 403 for Hypertensive Chronic Kidney Disease- Malignant

Report following ICD 9 Codes when Hypertensive Chronic Kidney Disease is Malignant:
  1. ICD-9 Code 403.00 for Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage I through stage IV, or unspecified.
  2. ICD-9 Code 403.01 for Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage V or end stage renal disease.


ICD 9 Codes 403 for Hypertensive Chronic Kidney Disease- Benign

Report following ICD 9 Codes when Hypertensive Chronic Kidney Disease is Benign:
  1. ICD-9 Code 403.10 for Hypertensive chronic kidney disease, benign, with chronic kidney disease stages I through stage IV, or unspecified.
  2. ICD-9 Code 403.11 for Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease.


ICD 9 Codes 403 for Hypertensive Chronic Kidney Disease- Unspecified

Report following ICD 9 Codes when Hypertensive Chronic Kidney Disease is Unspecified:
  1. ICD-9 Code 403.90 for Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified.
  2. ICD-9 Code 403.91 for Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease.

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