Dialysis ICD-10-CM Codes

Which Dialysis ICD-10-CM Codes are billable?

All the ICD-10 codes listed above are billable diagnoses for health services, including dialysis treatments, dialysis catheter adjustment, adequacy testing, and preparatory care for patients dependent on renal dialysis.

• Z99.2 – Yes, billable for ongoing dependence on renal dialysis
• N18.6 – Yes, billable for end-stage renal disease requiring treatment
• N17.0, N17.8 – Yes, billable when dialysis is part of managing acute kidney failure

Clinical information

Dialysis is a life-sustaining procedure that substitutes kidney function by filtering waste products, toxins, and excess fluid from the blood. It's prescribed for patients with kidney failure, including both acute kidney injury and chronic kidney disease, especially those who have reached ESRD.

Types of dialysis:

• Hemodialysis: This procedure cleans blood using an external machine and an arteriovenous shunt or dialysis catheter. It is often performed in a dialysis center, usually three times a week.
• Peritoneal dialysis: Utilizes the patient's peritoneal membrane and a peritoneal dialysis catheter to filter blood internally. Often managed at home and done daily.

Treatment considerations:

• Requires adequacy testing (e.g., Kt/V or URR) to assess the effectiveness of dialysis.
• Patients may undergo adequacy testing for hemodialysis or peritoneal dialysis to adjust treatment frequency or method.
• Includes fitting and adjustment dialysis access devices such as catheters or other enabling machines.
• Appropriate codes may be used to document noncompliance with renal dialysis (e.g., missed sessions or dietary violations).
• Patients often present with associated conditions like hypertension, anemia, and fluid imbalance.

Long-term management:

• Ongoing documentation of renal dialysis status is critical.
• Many patients await or undergo kidney transplant surgery, which can eliminate the need for dialysis.
• Encounters for care involving renal dialysis may include health status assessments, adjustments of extracorporeal dialysis systems, and monitoring of devices and complications.
• In some cases, patients receive an encounter for fitting and adjusting dialysis equipment or evaluation of treatment response.

Synonyms include

• Renal dialysis
• Hemodialysis
• Peritoneal dialysis
• End-stage renal disease (ESRD) Tteatment