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N18.9

Chronic kidney disease, unspecified

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 6 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
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 11
N18.9code
Inclusion terms
  • Chronic renal disease
  • Chronic renal failure NOS
  • Chronic renal insufficiency
  • Chronic uremia NOS
  • Diffuse sclerosing glomerulonephritis NOS
N18code
Code first
Use additional code
  • code, if applicable, to identify:
  • associated cachexia (E88.A)E88.A
  • kidney transplant status (Z94.0)Z94.0
Index entries leading here 12
  • Retinitis — see also Inflammation, chorioretinal
  • Apoplexia, apoplexy, apoplectic
  • Disease, diseased — see also Syndrome
  • Insufficiency, insufficient
  • Failure, failed
  • Uremia, uremic N19
  • Glomerulonephritis N05.9
    • diffuse
    • sclerosing, diffuse N18.9
  • Polyneuropathy (peripheral) G62.9
    • in (due to)
  • Neuropathy, neuropathic G62.9
  • Paralysis, paralytic (complete) (incomplete) G83.9
  • Pericarditis (with decompensation) (with effusion) I31.9
  • Syndrome — see also Disease
Alongside this code 6 same parent — N18
Medications 1

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

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

ESRD21HCC139

Presence is a property of the code. Untick a model to hide it everywhere.

This code

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

Present FY2024–FY2027.