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Home/Diagnosis/ICD-10 Coding for Chronic Kidney Disease Stage 4

ICD-10 Coding for Chronic Kidney Disease Stage 4

N18.4
I12.9
E11.22

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic kidney disease stage 4 includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CKD Stage IV
Chronic Renal Failure Stage 4
Chronic Kidney Disease Roman Numeral 4
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Key Information: ICD-10 Coding for Chronic Kidney Disease Stage 4

Essential facts and insights about ICD-10 Coding for Chronic Kidney Disease Stage 4

Use ICD-10 code N18.4 for chronic kidney disease, stage 4 (severe), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic kidney disease, stage 4 (severe)

Billable Code
N18.4
Billable

Diagnostic Criteria

clinical:
  • • eGFR between 15-29 mL/min/1.73m²
documentation:
  • • Provider documentation of CKD stage 4

Applicable To

  • • CKD stage 4

Important Notes

  • • Ensure CKD stage is explicitly documented by the provider.

Hypertensive chronic kidney disease with stage 1-4 CKD

Billable Code
I12.9
Billable

Diagnostic Criteria

clinical:
  • • Diagnosis of hypertension
documentation:
  • • Documentation linking hypertension to CKD

Applicable To

  • • Hypertension with CKD stage 1-4

Important Notes

  • • Document the causal relationship between hypertension and CKD.

Type 2 diabetes mellitus with diabetic chronic kidney disease

Billable Code
E11.22
Billable

Diagnostic Criteria

clinical:
  • • Diagnosis of type 2 diabetes
documentation:
  • • Documentation linking diabetes to CKD

Applicable To

  • • Diabetic nephropathy

Important Notes

  • • Ensure diabetes is documented as the cause of CKD.
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 CKD stage 4 coded in ICD-10?

CKD stage 4 is coded as N18.4 in ICD-10. If hypertension or diabetes is present, additional codes like I12.9 or E11.22 may be required.

What documentation is needed for CKD stage 4?

Documentation must include the CKD stage, eGFR values, and any causal conditions like hypertension or diabetes.

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