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Home/Diagnosis/ICD-10 Coding for Acute Renal Insufficiency

ICD-10 Coding for Acute Renal Insufficiency

R94.4
N17.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute renal insufficiency includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Acute Kidney Insufficiency
Renal Insufficiency
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Key Information: ICD-10 Coding for Acute Renal Insufficiency

Essential facts and insights about ICD-10 Coding for Acute Renal Insufficiency

Use ICD-10 code R94.4 for abnormal kidney function tests, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abnormal kidney function tests

Billable Code
R94.4
Billable

Diagnostic Criteria

clinical:
  • • Creatinine increase <1.5x baseline
documentation:
  • • Absence of oliguria

Applicable To

  • • Mild renal dysfunction

Important Notes

  • • Ensure documentation specifies lab values and clinical context to differentiate from AKI.

Acute kidney failure, unspecified

Billable Code
N17.9
Billable

Diagnostic Criteria

clinical:
  • • Creatinine increase ≥1.5x baseline
  • • Oliguria <0.5 mL/kg/hr for 6 hours

Applicable To

  • • Acute renal failure

Important Notes

  • • Ensure AKI criteria are documented clearly to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

E86.0

Dehydration

Use when dehydration is a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for acute renal insufficiency?

Acute renal insufficiency is typically coded as R94.4 for abnormal kidney function tests unless criteria for acute kidney injury (AKI) are met, in which case N17.9 may be used.

When should R94.4 be used instead of N17.9?

Use R94.4 when lab results show mild renal dysfunction without meeting AKI criteria, such as a creatinine increase of less than 1.5x baseline.

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