2025 ICD-10-CM Diagnosis Code N18.5

Chronic kidney disease, stage 5

ICD-10-CM Code:
N18.5
ICD-10 Code for:
Chronic kidney disease, stage 5
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

N18.5 is a billable diagnosis code used to specify a medical diagnosis of chronic kidney disease, stage 5. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

Code Classification

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

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Anemia in chronic kidney disease
  • Anemia in chronic kidney disease stage 5
  • Benign hypertensive heart disease
  • Benign hypertensive heart disease and chronic renal disease stage 5
  • Chronic kidney disease due to benign hypertension
  • Chronic kidney disease stage 5
  • Chronic kidney disease stage 5 due to benign hypertension
  • Chronic kidney disease stage 5 due to drug induced diabetes mellitus
  • Chronic kidney disease stage 5 due to hypertension
  • Chronic kidney disease stage 5 due to hypertension
  • Chronic kidney disease stage 5 due to hypertension
  • Chronic kidney disease stage 5 due to type 1 diabetes mellitus
  • Chronic kidney disease stage 5 due to type 2 diabetes mellitus
  • Chronic kidney disease stage 5 due to type 2 diabetes mellitus
  • Chronic kidney disease stage 5 on dialysis
  • Chronic kidney disease stage 5 with transplant
  • Disorder of kidney due to drug induced diabetes mellitus
  • Hypertension in chronic kidney disease due to type 2 diabetes mellitus
  • Hypertension in chronic kidney disease stage 5 due to type 2 diabetes mellitus
  • Hypertensive heart AND chronic kidney disease stage 5
  • Inflammation of retina due to chronic kidney disease stage 5
  • Malignant hypertensive chronic kidney disease
  • Malignant hypertensive chronic kidney disease stage 5
  • Malignant hypertensive renal disease
  • Nephropathy due to secondary diabetes mellitus
  • Renal retinopathy

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Chronic kidney disease

CCSR Code: GEN003

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • chronic kidney disease, stage 5 requiring chronic dialysis N18.6

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert N18.5 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Chron kidney dis stage V

ICD-9-CM: 585.5

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

Patient Education


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


[Learn More in MedlinePlus]

Chronic Kidney Disease (CKD)

Overview of chronic kidney disease (CKD), including definition, causes, tests and diagnosis, managing CKD, eating right with CKD, and preventing CKD.
[Learn More in MedlinePlus]

Helping Your Child Adapt to Life with Chronic Kidney Disease

Overview of ways in which parents and other adults can help children with kidney disease overcome the daily challenges of living with a chronic illness.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.