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

Discover the End-Stage Renal Disease (ESRD) ICD-10-CM codes guide. Learn about the specific codes, descriptions, and billing implications.

By RJ Gumban on Aug 8, 2025.

Fact Checked by Ericka Pingol.

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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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ICD-10 end-stage renal disease
End-stage renal disease diagnosis codes
ICD-10 codes for end-stage renal disease

Commonly asked questions

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

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.

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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