ICD-10-CM Code N18.6

End stage renal disease

Version 2020 Billable Code

Valid for Submission

N18.6 is a billable code used to specify a medical diagnosis of end stage renal disease. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N18.6 might also be used to specify conditions or terms like anemia in end stage renal disease, anemia of renal disease, anemia secondary to renal failure, dependence on dialysis due to end stage renal disease, dependence on hemodialysis, dependence on hemodialysis due to end stage renal disease, etc

ICD-10:N18.6
Short Description:End stage renal disease
Long Description:End stage renal disease

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N18.6:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Chronic kidney disease requiring chronic dialysis

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify dialysis status Z99.2

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N18.6 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Anemia in end stage renal disease
  • Anemia of renal disease
  • Anemia secondary to renal failure
  • Dependence on dialysis due to end stage renal disease
  • Dependence on hemodialysis
  • Dependence on hemodialysis due to end stage renal disease
  • Dependence on peritoneal dialysis
  • Dependence on peritoneal dialysis due to end stage renal disease
  • Dependence on renal dialysis
  • End stage renal disease due to benign hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease due to hypertension
  • End stage renal disease on dialysis due to hypertension
  • End stage renal disease on dialysis due to type 1 diabetes mellitus
  • End stage renal disease on dialysis due to type 1 diabetes mellitus
  • End stage renal disease on dialysis due to type 2 diabetes mellitus
  • End stage renal disease on dialysis due to type 2 diabetes mellitus
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure on dialysis
  • End stage renal failure untreated by renal replacement therapy
  • End stage renal failure with renal transplant
  • End-stage renal disease
  • Hyperparathyroidism due to end stage renal disease on dialysis
  • Hyperparathyroidism due to renal insufficiency
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 1 diabetes mellitus
  • Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
  • Hypertensive end stage renal disease
  • Hypertensive heart and renal disease with both heart failure and renal failure
  • Hypertensive heart and renal disease with renal failure
  • Hypertensive renal failure
  • Malignant hypertensive end stage renal disease
  • Malignant hypertensive end stage renal disease on dialysis
  • Secondary hyperparathyroidism

Clinical Information

  • KIDNEY FAILURE CHRONIC-. the end stage of chronic renal insufficiency. it is characterized by the severe irreversible kidney damage as measured by the level of proteinuria and the reduction in glomerular filtration rate to less than 15 ml per min kidney foundation: kidney disease outcome quality initiative 2002. these patients generally require hemodialysis or kidney transplantation.

Convert N18.6 to ICD-9

  • 585.6 - End stage renal disease

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Acute kidney failure and chronic kidney disease (N17-N19)
      • Chronic kidney disease (N18) (CKD)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Kidney Failure

Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body may retain excess fluid and not make enough red blood cells. This is called kidney failure.

If your kidneys fail, you need treatment to replace the work they normally do. The treatment options are dialysis or a kidney transplant. Each treatment has benefits and drawbacks. No matter which treatment you choose, you'll need to make some changes in your life, including how you eat and plan your activities. But with the help of health care providers, family, and friends, most people with kidney failure can lead full and active lives.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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