2017/18 ICD-10-CM Diagnosis Code N18.6

End stage renal disease

Applicable To
  • Chronic kidney disease requiring chronic dialysis
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify dialysis status (
    ICD-10-CM Diagnosis Code Z99.2

    Dependence on renal dialysis

      2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    • Hemodialysis status
    • Peritoneal dialysis status
    • Presence of arteriovenous shunt for dialysis
    • Renal dialysis status NOS
    Type 1 Excludes
    • encounter for fitting and adjustment of dialysis catheter (Z49.0-)
    Type 2 Excludes
    • noncompliance with renal dialysis (Z91.15)
    Z99.2
    )
The following code(s) above N18.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N18.6:
  • N00-N99
    2018 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
  • N17-N19
    2018 ICD-10-CM Range N17-N19

    Acute kidney failure and chronic kidney disease

    Type 2 Excludes
    • 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 (O90.4)
    • 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 (O90.4)
    • renal failure postprocedural (N99.0)
    Acute kidney failure and chronic kidney disease
  • N18
    ICD-10-CM Diagnosis Code N18

    Chronic kidney disease (CKD)

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code First
    Use Additional
    • code to identify kidney transplant status, if applicable, (Z94.0)
    Chronic kidney disease (CKD)
Approximate Synonyms Clinical Information ICD-10-CM N18.6 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert N18.6 to ICD-9-CM

Code History
Code annotations containing back-references to N18.6:

Diagnosis Index entries containing back-references to N18.6:

ICD-10-CM Codes Adjacent To N18.6
N17.1 Acute kidney failure with acute cortical necrosis
N17.2 Acute kidney failure with medullary necrosis
N17.8 Other acute kidney failure
N17.9 Acute kidney failure, unspecified
N18 Chronic kidney disease (CKD)
N18.1 Chronic kidney disease, stage 1
N18.2 Chronic kidney disease, stage 2 (mild)
N18.3 Chronic kidney disease, stage 3 (moderate)
N18.4 Chronic kidney disease, stage 4 (severe)
N18.5 Chronic kidney disease, stage 5
N18.6 End stage renal disease
N18.9 Chronic kidney disease, unspecified
N19 Unspecified kidney failure
N20 Calculus of kidney and ureter
N20.0 Calculus of kidney
N20.1 Calculus of ureter
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified
N21 Calculus of lower urinary tract
N21.0 Calculus in bladder
N21.1 Calculus in urethra

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.