2026 ICD-10-CM Diagnosis Code N18.9Chronic kidney disease, unspecified

ICD-10-CM CodesN00–N99N17-N19CKD

ICD-10-CM N18.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N18.9 is a billable ICD-10-CM diagnosis code for chronic kidney disease, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 682 through 684. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chronic kidney disease.

Code Identity

ICD-10-CM Code
N18.9
Billable Status
Yes — Valid for Submission
Code Describes
Chronic kidney disease, unspecified
Short Description
Chronic kidney disease, unspecified
Same as the full description in the CMS dataset.
Parent Code
Chronic kidney disease (CKD)

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN17-N19Acute kidney failure and chronic kidney disease
CategoryCKDChronic kidney disease (N18)
This CodeN18.9Chronic kidney disease, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acquired hypophosphatemia
  • Acute-on-chronic renal failure
  • Anemia in chronic kidney disease
  • Anemia of chronic renal failure
  • Anemia of renal disease
  • Anemia secondary to renal failure
  • Anemia, pre-end stage renal disease on erythropoietin protocol
  • Arteriolar nephrosclerosis
  • Benign arteriolar nephrosclerosis
  • Benign hypertensive heart AND renal disease
  • Benign hypertensive heart disease
  • Benign hypertensive heart disease and chronic renal disease
  • Benign hypertensive renal disease
  • Cardiorenal syndrome
  • Cardiovascular renal disease
  • Chronic disease-related malnutrition
  • Chronic hypertensive uremia
  • Chronic kidney disease
  • Chronic kidney disease due to and following excision of neoplasm of kidney
  • Chronic kidney disease due to benign hypertension
  • Chronic kidney disease due to hypertension
  • Chronic kidney disease due to systemic infection
  • Chronic kidney disease due to traumatic loss of kidney
  • Chronic kidney disease due to type 1 diabetes mellitus
  • Chronic kidney disease due to type 2 diabetes mellitus
  • Chronic kidney disease following donor nephrectomy
  • Chronic kidney disease mineral and bone disorder
  • Chronic renal insufficiency
  • Deficiency of alkaline phosphatase
  • Disorder of vitamin D
  • Drug resistance
  • Erythropoietin resistance in anemia of chronic kidney disease
  • Hypercalcemia due to chronic kidney disease
  • Hyperphosphatemia
  • Hyperphosphatemia due to chronic kidney disease
  • Hypertension complicating pregnancy, childbirth and the puerperium
  • Hypertension in chronic kidney disease due to type 1 diabetes mellitus
  • Hypertension in chronic kidney disease due to type 2 diabetes mellitus
  • Hypertension secondary to renal disease complicating AND/OR reason for care during puerperium
  • Hypertension secondary to renal disease in obstetric context
  • Hypertensive heart and chronic kidney disease
  • Hypertensive heart AND chronic kidney disease on dialysis
  • Hypertensive heart AND chronic kidney disease with congestive heart failure
  • Hypertensive heart AND renal disease
  • Hypertensive heart AND renal disease complicating AND/OR reason for care during childbirth
  • Hypertensive heart AND renal disease complicating AND/OR reason for care during pregnancy
  • Hypertensive heart AND renal disease in obstetric context
  • Hypertensive heart and renal disease with heart failure
  • Hypertensive heart disease complicating AND/OR reason for care during childbirth
  • Hypertensive heart disease complicating AND/OR reason for care during pregnancy
  • Hypertensive nephrosclerosis
  • Hypertensive renal disease
  • Hypertensive renal disease complicating AND/OR reason for care during childbirth
  • Hypertensive renal disease complicating AND/OR reason for care during pregnancy
  • Hypertensive renal disease in obstetric context
  • Hypocalcemia due to chronic kidney disease
  • Hypophosphatemia due to chronic kidney disease
  • Light chain nephropathy
  • Low alkaline phosphatase due to chronic kidney disease
  • Malignant arteriolar nephrosclerosis
  • Malignant hypertensive heart AND renal disease
  • Malignant hypertensive heart disease
  • Malignant hypertensive renal disease
  • Nephrosclerosis
  • Neuropathy in renal failure
  • Osteoporosis due to chronic kidney disease
  • Parenchymal renal hypertension
  • Pericarditis secondary to uremia
  • Polyneuropathy caused by drug
  • Postoperative renal impairment
  • Pre-existing hypertensive chronic kidney disease in mother complicating pregnancy
  • Pre-existing hypertensive heart and chronic kidney disease in mother complicating childbirth
  • Pre-existing hypertensive heart and chronic kidney disease in mother complicating pregnancy
  • Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium
  • Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
  • Pre-existing hypertensive heart disease in mother complicating childbirth
  • Pre-existing hypertensive heart disease in mother complicating pregnancy
  • Recurrent renal disease following transplantation of kidney
  • Renal failure-associated hyperphosphatemia
  • Renal hypertension
  • Renal hypertension complicating pregnancy, childbirth and the puerperium
  • Renal insufficiency
  • Renal involvement in malignant disease
  • Sclerosing glomerulonephritis
  • Serum calcium below reference range
  • Soft tissue calcification due to chronic kidney disease
  • Toxic polyneuropathy
  • Uremic neuropathy
  • Uremic polyneuropathy
  • Vitamin D deficiency
  • Vitamin D deficiency due to chronic kidney disease

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Chronic renal disease
  • Chronic renal failure NOS
  • Chronic renal insufficiency
  • Chronic uremia NOS
  • Diffuse sclerosing glomerulonephritis NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Apoplexia, apoplexy, apoplectic
      • uremic
    • Disease, diseased
      • kidney (functional) (pelvis)
        • chronic
    • Disease, diseased
      • renal (functional) (pelvis)
        • chronic
    • Failure, failed
      • renal
        • chronic
    • Glomerulonephritis
      • diffuse
        • sclerosing
    • Glomerulonephritis
      • sclerosing, diffuse
    • Insufficiency, insufficient
      • kidney
        • chronic
    • Insufficiency, insufficient
      • renal (acute)
        • chronic
    • Neuropathy, neuropathic
      • uremic
    • Paralysis, paralytic(complete) (incomplete)
      • uremic
    • Pericarditis(with decompensation) (with effusion)
      • uremic
    • Polyneuropathy(peripheral)
      • in (due to)
        • uremia
    • Retinitis
      • albuminurica
    • Retinitis
      • renal
    • Syndrome
      • uremia, chronic
    • Uremia, uremic
      • with
        • polyneuropathy
    • Uremia, uremic
      • chronic NOS

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN003
Chronic kidney disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hyperphosphatemia

    a condition of abnormally high level of phosphates in the blood, usually significantly above the normal range of 0.84-1.58 mmol per liter of serum.
  • Drug Resistance

    diminished or failed response of an organism, disease or tissue to the intended effectiveness of a chemical or drug. it should be differentiated from drug tolerance which is the progressive diminution of the susceptibility of a human or animal to the effects of a drug, as a result of continued administration.
  • Drug Resistance, Bacterial

    the ability of bacteria to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
  • Drug Resistance, Fungal

    the ability of fungi to resist or to become tolerant to chemotherapeutic agents, antifungal agents, or antibiotics. this resistance may be acquired through gene mutation.
  • Drug Resistance, Microbial

    the ability of microorganisms, especially bacteria, to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
  • Drug Resistance, Multiple

    simultaneous resistance to several structurally and functionally distinct drugs.
  • Drug Resistance, Multiple, Bacterial

    the ability of bacteria to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
  • Drug Resistance, Multiple, Fungal

    the ability of fungi to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance phenotype may be attributed to multiple gene mutations.
  • Drug Resistance, Multiple, Viral

    the ability of viruses to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance phenotype may be attributed to multiple gene mutation.
  • Drug Resistance, Neoplasm

    resistance or diminished response of a neoplasm to an antineoplastic agent in humans, animals, or cell or tissue cultures.
  • Drug Resistance, Viral

    the ability of viruses to resist or to become tolerant to chemotherapeutic agents or antiviral agents. this resistance is acquired through gene mutation.
  • Nephrosclerosis

    hardening of the kidney due to infiltration by fibrous connective tissue (fibrosis), usually caused by renovascular diseases or chronic hypertension. nephrosclerosis leads to renal ischemia.
  • Vitamin D Deficiency

    a nutritional condition produced by a deficiency of vitamin d in the diet, insufficient production of vitamin d in the skin, inadequate absorption of vitamin d from the diet, or abnormal conversion of vitamin d to its bioactive metabolites. it is manifested clinically as rickets in children and osteomalacia in adults. (from cecil textbook of medicine, 19th ed, p1406)
  • Acute Kidney Injury

    abrupt reduction in kidney function. acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; acute kidney tubular necrosis; and other less severe conditions.
  • Renal Insufficiency

    conditions in which the kidneys perform below the normal level in the ability to remove wastes, concentrate urine, and maintain electrolyte balance; blood pressure; and calcium metabolism. renal insufficiency can be classified by the degree of kidney damage (as measured by the level of proteinuria) and reduction in glomerular filtration rate.
  • Renal Insufficiency, Chronic

    conditions in which the kidneys perform below the normal level for more than three months. chronic kidney insufficiency is classified by five stages according to the decline in glomerular filtration rate and the degree of kidney damage (as measured by the level of proteinuria). the most severe form is the end-stage renal disease (chronic kidney failure). (kidney foundation: kidney disease outcome quality initiative, 2002)
  • Phosphates

    inorganic salts of phosphoric acid.
  • Drug Tolerance

    progressive diminution of the susceptibility of a human or animal to the effects of a drug, resulting from its continued administration. it should be differentiated from drug resistance wherein an organism, disease, or tissue fails to respond to the intended effectiveness of a chemical or drug. it should also be differentiated from maximum tolerated dose and no-observed-adverse-effect level.
  • Chronic Toxic Polyneuropathy

    neuropathy affecting multiple nerves that is caused by prolonged exposure to toxic substances.
  • Chronic Kidney Disease due to Hypertension

    longstanding kidney disease as a complication of hypertension.
  • Uremic Neuropathy

    neuropathy resulting from uremia.
  • Grade 1 Hyperphosphatemia, CTCAE|Grade 1 Hyperphosphatemia

    laboratory finding only and intervention not indicated
  • Grade 2 Hyperphosphatemia, CTCAE|Grade 2 Hyperphosphatemia

    noninvasive intervention indicated
  • Grade 3 Hyperphosphatemia, CTCAE|Grade 3 Hyperphosphatemia

    severe or medically significant but not immediately life-threatening; hospitalization or prolongation of existing hospitalization indicated
  • Grade 4 Hyperphosphatemia, CTCAE|Grade 4 Hyperphosphatemia

    life-threatening consequences; urgent intervention indicated (e.g., dialysis)
  • Grade 5 Hyperphosphatemia, CTCAE|Grade 5 Hyperphosphatemia

    death
  • Hyperphosphatemia

    abnormally high level of phosphate in the blood.
  • Hyperphosphatemia, CTCAE|Hyperphosphatemia

    a disorder characterized by laboratory test results that indicate an elevation in the concentration of phosphate in a blood.
  • Renal Hypertension

    hypertension caused by narrowing or occlusion of the renal arteries.
  • Nutritional Vitamin D Deficiency Rickets

    nutritional rickets due to dietary deficiency of vitamin d.
  • Vitamin D Deficiency

    abnormally low level of 25-hydroxyvitamin d in the blood.
  • Cardiorenal Syndrome

    a disorder of the heart and kidneys in which dysfunction of one of the organs induces dysfunction of the other organ.
  • Toxic Polyneuropathy

    polyneuropathy that is caused by exposure to toxins.

Patient EducationClinical

Chronic Kidney Disease

You have two kidneys, each about the size of your fist. Their main job is to filter your blood. They remove wastes and extra water, which become urine. They also keep the body's chemicals balanced, help control blood pressure, and make hormones.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N18.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
585.9 Chronic kidney dis NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N18.9Overview

Is N18.9 (Chronic kidney disease (CKD)) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chronic kidney disease, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N18.9 group to?

When chronic kidney disease, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 682, 683, 684, with relative weights from 0.6003 to 1.4810 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N18.9?

Under the General Equivalence Mappings, chronic kidney disease, unspecified converts to ICD-9-CM 585.9 (chronic kidney dis NOS). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.