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N18.6

End stage renal disease

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 19 never code together
N17-N19block
Excludes2
  • congenital renal failure (P96.0)P96.0
  • drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)N14.-
  • extrarenal uremia (R39.2)R39.2
  • hemolytic-uremic syndrome (D59.3-)D59.3-
  • hepatorenal syndrome (K76.7)K76.7
  • postpartum hepatorenal syndrome (O90.41)O90.41
  • posttraumatic renal failure (T79.5)T79.5
  • prerenal uremia (R39.2)R39.2
  • renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)O00-O07O08.4
  • renal failure following labor and delivery (O90.41)O90.41
  • renal failure postprocedural (N99.0)N99.0
N00-N99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 8
N18code
Code first
Use additional code
  • code, if applicable, to identify:
  • associated cachexia (E88.A)E88.A
  • kidney transplant status (Z94.0)Z94.0
N18.6code
Inclusion terms
  • Chronic kidney disease requiring chronic dialysis
Use additional code
  • code to identify dialysis status (Z99.2)Z99.2Z99.2
Index entries leading here 2
  • Disease, diseased — see also Syndrome
    • end stage renal (ESRD) N18.6
    • renal (functional) (pelvis) N28.9
      • end-stage (failure) N18.6
  • Failure, failed
Alongside this code 6 same parent — N18
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC136 CMS28HCC326 ESRD21HCC136 ESRD24HCC136 RX08HCC261

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This code

Billable
yes
Code set
FY2026
Parent
N18
Block
N17-N19
Siblings
6

Present FY2024–FY2027.