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Home/Diagnosis/ICD-10 Coding for Chronic Kidney Disease Stage 5

ICD-10 Coding for Chronic Kidney Disease Stage 5

N18.5
N18.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic kidney disease stage 5 includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CKD 5
End-Stage Renal Disease
ESRD
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Key Information: ICD-10 Coding for Chronic Kidney Disease Stage 5

Essential facts and insights about ICD-10 Coding for Chronic Kidney Disease Stage 5

Use ICD-10 code N18.5 for chronic kidney disease, stage 5, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic Kidney Disease, Stage 5

Billable Code
N18.5
Billable

Diagnostic Criteria

clinical:
  • • eGFR <15 mL/min/1.73m² for at least 3 months
  • • Symptoms of uremia or fluid overload
documentation:
  • • Explicit mention of CKD stage 5 without dialysis

Applicable To

  • • CKD stage 5 without dialysis

Important Notes

  • • Ensure documentation specifies CKD stage and dialysis status.

End-stage renal disease

Billable Code
N18.6
Billable

Diagnostic Criteria

clinical:
  • • Chronic dialysis treatment
  • • eGFR <15 mL/min/1.73m²

Applicable To

  • • CKD stage 5 with chronic dialysis

Important Notes

  • • Transition from N18.5 to N18.6 once dialysis starts.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z99.2

Dependence on renal dialysis

Use when the patient is dependent on dialysis.

Frequently Asked Questions

How is chronic kidney disease stage 5 coded in ICD-10?

Chronic kidney disease stage 5 is coded as N18.5 if the patient is not on dialysis. If the patient is on dialysis, it is coded as N18.6.

What is the difference between N18.5 and N18.6?

N18.5 is used for CKD stage 5 without dialysis, while N18.6 is for end-stage renal disease with dialysis.

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