For a patient diagnosed with renal failure with hypertension, which ICD-10-CM codes are reported?

In this scenario, the correct coding involves understanding the relationship between hypertension and renal failure. The diagnosis of a patient with renal failure who also has hypertension requires specific codes that indicate both conditions and their interaction.

The choice that correctly captures this relationship is founded on the use of the appropriate combination of ICD-10-CM codes. The code for hypertension that is specifically related to renal failure is crucial. In this instance, I12.0 is the code for “Hypertensive heart AND chronic kidney disease stage 1 through stage 4,” which accurately signifies that the hypertension is a direct result of chronic kidney disease.

N18.6 represents “End stage renal disease,” which indicates the severity of the renal failure experienced by the patient, while Z99.2 stands for “Dependence on renal dialysis,” denoting the patient’s ongoing need for dialysis treatment due to their renal condition.

This combination of codes efficiently reflects the patient's situation: the hypertension linked to the renal condition, the diagnosis of end-stage renal disease, and the requirement for dialysis. Thus, the selection provides a complete and accurate representation of the patient's diagnoses in the medical record as required by ICD-10-CM coding guidelines.