Chronic kidney disease, stage 5

ValidICD-10-CM diagnosis code.

Valid for claims with a date of service in the current code year.

Valid FY2016 onwards.

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Chronic kidney disease, stage V
FY2011 Draft description revised draft ~~Chronic kidney disease, stage V~~ Chronic kidney disease, stage 5

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from N18 Chronic kidney disease (CKD)

Use additional code

code, if applicable, to identify:
associated cachexia (E88.A)
kidney transplant status (Z94.0)

Code first

any associated:
diabetic chronic kidney disease (E08.22, E09.22, E10.22, E11.22, E13.22)
hypertensive chronic kidney disease (I12.-, I13.-)

Inherited from the N17-N19 section Acute kidney failure and chronic kidney disease (N17-N19)

Excludes2 - not included here

congenital renal failure (P96.0)
drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
extrarenal uremia (R39.2)
hemolytic-uremic syndrome (D59.3-)
hepatorenal syndrome (K76.7)
postpartum hepatorenal syndrome (O90.41)
posttraumatic renal failure (T79.5)
prerenal uremia (R39.2)
renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
renal failure following labor and delivery (O90.41)
renal failure postprocedural (N99.0)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

ckd
Urinemia
Hyperazotemia
Change > renal
Damage > renal
Lesion > kidney
Toxemia > kidney
Toxemia > uremic
Trouble > kidney
Toxemia > urinary
Vomiting > uremic
Amaurosis > uremic
Amblyopia > uremic
Complaint > kidney
Urea > blood, high
Absorption > uremic
Dysfunction > kidney
Intoxication > uremic
Failure, failed > kidney
Disease, diseased > renal
Failure, failed > urinary
Syndrome > uremia, chronic
Syndrome > cardiorenal Note:
Uremia, uremic > chronic NOS
Disease, diseased > renal > chronic
Syndrome > cardiovascular renal Note:
Disease, diseased > kidney > chronic > stage 5

Codes in the same group

Code	Description	Status
N18.1	Chronic kidney disease, stage 1	Valid
N18.2	Chronic kidney disease, stage 2 (mild)	Valid
N18.3	Chronic kidney disease, stage 3 (moderate)	Not billable
N18.4	Chronic kidney disease, stage 4 (severe)	Valid
N18.6	End stage renal disease	Valid
N18.9	Chronic kidney disease, unspecified	Valid