2019 ICD-10-CM Diagnosis Code N18.5

Chronic kidney disease, stage 5

    2016 2017 2018 2019 Billable/Specific Code
  • N18.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM N18.5 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of N18.5 - other international versions of ICD-10 N18.5 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as N18.5. A type 1 excludes note is for used for 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 (
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Chronic kidney disease requiring chronic dialysis
    Use Additional
    • code to identify dialysis status (Z99.2)
    N18.6
    )
The following code(s) above N18.5 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 N18.5:
  • N00-N99
    2019 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
    2019 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 2019 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
  • Anemia co-occurrent and due to chronic kidney disease stage 5
  • Anemia in chronic kidney disease stage 5
  • Benign hypertensive ckd, w esrd
  • Benign hypertensive heart and chronic renal disease stage 5
  • Benign hypertensive heart and chronic renal disease stage 5 with congestive heart failure
  • Benign hypertensive heart disease and chronic renal disease stage 5
  • Chronic kidney disease stage 5
  • Chronic kidney disease stage 5 associated with type 2 diabetes mellitus
  • Chronic kidney disease stage 5 due to benign hypertension
  • Chronic kidney disease stage 5 due to drug induced diabetes
  • Chronic kidney disease stage 5 due to hypertension
  • Chronic kidney disease stage 5 due to secondary diabetes
  • 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, esrd due to benign hypertension
  • Chronic kidney disease, severe
  • Chronic kidney failure with hypertension
  • Diabetes type 1, severe chronic kidney disease
  • Diabetes type 2 with severe kidney disease
  • Diabetes type 2, severe chronic kidney disease
  • Drug induced diabetes, severe chronic kidney disease
  • Hypertension in chronic kidney disease stage 5 due to type 2 diabetes mellitus
  • Hypertensive chronic kidney disease, severe
  • Hypertensive heart and chronic kidney disease stage 5
  • Hypertensive heart and chronic kidney disease stage 5 with congestive heart failure
  • Hypertensive heart and kidney disease
  • Hypertensive heart and kidney disease with congestive heart failure (chf)
  • Hypertensive heart and severe chronic kidney disease
  • Hypertensive heart disease, chronic kidney dis
  • Hypertensive kidney and heart disease
  • Hypertensive kidney disease with kidney failure
  • Hypertensive, severe chronic kidney disease
  • Malignant htn ckd w esrd
  • Malignant hypertensive chronic kidney disease stage 5
  • Malignant hypertensive chronic renal disease, stage 5
  • Malignant hypertensive end stage renal disease
  • Malignant hypertensive heart and chronic kidney disease stage 5
  • Malignant hypertensive heart and chronic renal disease, stage 5, with congestive heart failure
  • Secondary diabetes with chronic kidney disease
  • Severe hypertensive heart and kidney disease
Clinical Information
  • Chronic, irreversible renal failure.
  • Long-standing and persistent renal disease with glomerular filtration rate (gfr) less than 15 ml/min.
ICD-10-CM N18.5 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 673 Other kidney and urinary tract procedures with mcc
  • 674 Other kidney and urinary tract procedures with cc
  • 675 Other kidney and urinary tract procedures without cc/mcc
  • 682 Renal failure with mcc
  • 683 Renal failure with cc
  • 684 Renal failure without cc/mcc

Convert N18.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to N18.5:
  • Use Additional: I13.11
    , I12.0
    ICD-10-CM Diagnosis Code I13.11

    Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease

      2016 2017 2018 2019 Billable/Specific Code
    Use Additional
    • code to identify the stage of chronic kidney disease (N18.5, N18.6)
    ICD-10-CM Diagnosis Code I12.0

    Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease

      2016 2017 2018 2019 Billable/Specific Code
    Use Additional
    • code to identify the stage of chronic kidney disease (N18.5, N18.6)

Diagnosis Index entries containing back-references to N18.5:
  • Disease, diseased - see also Syndrome
    • kidney (functional) (pelvis) N28.9
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
      • chronic N18.9
        ICD-10-CM Diagnosis Code N18.9

        Chronic kidney disease, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Chronic renal disease
        • Chronic renal failure NOS
        • Chronic renal insufficiency
        • Chronic uremia NOS
        • Diffuse sclerosing glomerulonephritis NOS
        • stage 5 N18.5

ICD-10-CM Codes Adjacent To N18.5
N17.0 Acute kidney failure with tubular necrosis
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

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