End-Stage Renal Disease (ESRD) ICD-10-CM Codes

Learn about the end-stage renal disease ICD-10-CM codes you can use through this guide.

By RJ Gumban on Jun 23, 2025.

Fact Checked by Gale Alagos.

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End-Stage Renal Disease (ESRD) ICD-10-CM Codes

What ICD-10 codes are used for end-stage renal disease (ESRD)?

End-stage renal disease (ESRD) is the final stage of chronic kidney disease, where the kidneys can no longer function adequately. Sometimes, it's also referred to as ESRD on hemodialysis (HD) because people who typically have ESRD require HD to filter waste and excess fluid from their bodies. Here are the commonly used ESRD (on HD) ICD-10-CM codes:

  • N18.6: End-stage renal disease
  • Z99.2: Dependence on renal dialysis
  • N18.9: Chronic kidney disease, unspecified
  • I12.0: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end-stage renal disease
  • E11.22: Type 2 diabetes mellitus with diabetic chronic kidney disease

Which end-stage renal disease (ESRD) ICD codes are billable?

All of the aforementioned end-stage renal disease ICD-10 codes are valid and billable.

Clinical information

End-stage renal Disease (ESRD) is a severe medical condition that requires comprehensive management. Here's what you need to know:

  • Symptoms often include extreme fatigue, nausea, vomiting, and cognitive impairment.
  • Various factors, including diabetes, hypertension, and certain genetic conditions, can cause the condition.
  • Diagnosis involves blood tests, urine tests, and imaging studies to assess kidney function.
  • Treatment options include dialysis and kidney transplantation.
  • Early diagnosis and management are crucial to improve quality of life and survival rates.

Synonyms include

  • Renal failure, end-stage
  • Chronic kidney failure, stage 5
  • Chronic kidney disease, stage 5
  • Terminal kidney failure
  • ESRD on dialysis
  • Uremia, chronic
  • Unspecified chronic kidney disease, stage 5
  • Acute kidney failure
  • Chronic dialysis for end-stage renal disease
  • Encounter to identify dialysis status
  • Encounter to identify kidney transplant status for end-stage renal disease
  • Acute cortical necrosis of kidneys

Popular search terms for end-stage renal disease ICD-10-CM codes

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Frequently asked questions

What are the treatment options for ESRD?

The primary treatment options for ESRD are hemodialysis, peritoneal dialysis, and kidney transplantation. Each has its own set of advantages and disadvantages.

How does ESRD affect other bodily systems?

ESRD can have a systemic impact, affecting other organs and systems, such as the cardiovascular system, leading to heart disease and the endocrine system, causing hormonal imbalances.

What lifestyle changes are recommended for managing ESRD?

Lifestyle changes for managing ESRD include adhering to a renal-friendly diet, regular exercise within tolerance levels, and avoiding substances that can further damage the kidneys, such as alcohol and certain medications.

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