ICD-10-CM Code N18.6
End stage renal disease
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.N18.6 is a billable ICD code used to specify a diagnosis of end stage renal disease. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
The ICD code N18 is used to code Chronic kidney disease
Chronic kidney disease (CKD), also known as chronic renal disease, is progressive loss in kidney function over a period of months or years. The symptoms of worsening kidney function are not specific, and might include feeling generally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with CKD. This disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia, pericarditis or renal osteodystrophy (the latter included in the novel term CKD-MBD). CKD is a long-term form of kidney disease; thus, it is differentiated from acute kidney disease (acute kidney injury) in that the reduction in kidney function must be present for over 3 months. CKD is an internationally recognized public health problem affecting 5–10% of the world population.
| Specialty: | Nephrology |
| MeSH Codes: | D007676, D007676, D007676, D007676, D007676, D007676, D007676 |
| ICD 9 Codes: | 585.9, 585.1, 585.2, 585.3, 585.4, 585.5, 403 |
Uremic frost on the forehead and scalp of a young man who presented with complaints of chronic anorexia and fatigue with blood urea nitrogen and serum creatinine levels around 100 and 50 mg/dl, respectively
Coding Notes for N18.6 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Chronic kidney disease requiring chronic dialysis
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code to identify dialysis status See code Z99.2
MS-DRG Mapping
- DRG Group #008 - Simultaneous pancreas or kidney transplant.
- DRG Group #673-675 - Other kidney and urinary tract procedures with MCC.
- DRG Group #673-675 - Other kidney and urinary tract procedures with CC.
- DRG Group #673-675 - Other kidney and urinary tract procedures without CC or MCC.
- DRG Group #682-684 - Renal failure with MCC.
- DRG Group #682-684 - Renal failure with CC.
- DRG Group #682-684 - Renal failure without CC or MCC.
Related Concepts SNOMET-CT
- Malignant hypertensive end stage renal disease (disorder)
- End stage renal disease on dialysis due to hypertension (disorder)
- Hypertension concurrent and due to end stage renal disease on dialysis (disorder)
- End stage renal disease on dialysis due to type 1 diabetes mellitus (disorder)
- End stage renal disease on dialysis due to type 2 diabetes mellitus (disorder)
- Hypertension concurrent and due to end stage renal disease on dialysis due to type 1 diabetes mellitus (disorder)
- Dependence on peritoneal dialysis due to end stage renal disease (finding)
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
ICD-10-CM Alphabetical Index References for 'N18.6 - End stage renal disease'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N18.6. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 585.6 was previously used, N18.6 is the appropriate modern ICD10 code.
Parent Code: N18 - Chronic kidney disease (CKD)