2024 ICD-10-CM Diagnosis Code N18.6

End stage renal disease

ICD-10-CM Code:
N18.6
ICD-10 Code for:
End stage renal disease
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

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

N18.6 is a billable diagnosis code used to specify a medical diagnosis of end stage renal disease. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

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

  • Anemia in chronic kidney disease
  • Anemia in end stage renal disease
  • Anemia of renal disease
  • Anemia secondary to renal failure
  • Cardiorenal syndrome
  • Chronic kidney disease due to benign hypertension
  • Chronic kidney disease due to type 1 diabetes mellitus
  • Chronic kidney disease due to type 1 diabetes mellitus
  • Dependence on continuous ambulatory peritoneal dialysis
  • Dependence on continuous ambulatory peritoneal dialysis due to end stage renal disease
  • 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
  • Dependence on peritoneal dialysis due to end stage renal disease
  • Dependence on renal dialysis
  • Dependence on renal dialysis
  • Dependence on renal dialysis
  • Dependence on renal dialysis
  • Disorder of kidney due to drug induced diabetes mellitus
  • 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 drug induced diabetes mellitus
  • 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 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
  • Hypertension in chronic kidney disease due to type 1 diabetes mellitus
  • Hypertension in chronic kidney disease due to type 2 diabetes mellitus
  • Hypertensive heart and renal disease with both heart failure and renal failure
  • Hypertensive heart and renal disease with renal failure
  • Hypertensive renal failure
  • Hypertensive renal failure
  • Hypertensive renal failure
  • Hypertensive renal failure
  • Hypertensive renal failure
  • Malignant hypertensive chronic kidney disease
  • Malignant hypertensive chronic kidney disease
  • Malignant hypertensive end stage renal disease
  • Malignant hypertensive end stage renal disease
  • Malignant hypertensive end stage renal disease on dialysis
  • Malignant hypertensive renal disease
  • Malignant hypertensive renal disease
  • Nephropathy due to secondary diabetes mellitus
  • Postoperative renal impairment
  • Secondary hyperparathyroidism

Clinical Classification

Clinical Information

  • Cardiorenal Syndrome

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

    overproduction of parathyroid hormone in response to influence external to the parathyroid glands.

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.


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 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 N18.6 to ICD-9-CM

  • ICD-9-CM Code: 585.6 - End stage renal disease

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]

Kidney Failure

Learn about preparing for and living with kidney failure, treatment choices—dialysis at home or in a center, kidney transplant, or conservative management.
[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.