ICD-10-CM › N00-N99 › N17-N19 › N18 Chronic kidney disease (CKD) › N18.6
End stage renal disease
ValidICD-10-CM diagnosis code.
Valid for claims with a date of service in the current code year.
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 End stage renal disease
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.
- Malfunction
- Change > renal
- Damage > renal
- Lesion > kidney
- Trouble > kidney
- Complaint > kidney
- Dysfunction > kidney
- Destruction, destructive
- Syndrome > cardiorenal Note:
- Failure, failed > cardiorenal
- Syndrome > cardiovascular renal Note:
- Disease, diseased > end stage renal
- Failure, failed > renal > end stage
- Disease, diseased > renal > end-stage
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 |
| N18.5 | Chronic kidney disease, stage 5 | Valid |
| N18.9 | Chronic kidney disease, unspecified | Valid |