Renal Failure ICD-10-CM Codes

Discover commonly used ICD-10-CM codes for renal failure, their billable status, clinical information, synonyms, and FAQs in this comprehensive guide.

By Emma Hainsworth on Feb 29, 2024.

Fact Checked by RJ Gumban.

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Renal Failure ICD-10-CM Codes

What ICD-10 Codes are Used for Renal Failure?

Renal failure is a critical condition requiring precise coding for accurate medical records and billing. Here are 6 to 10 commonly used Renal Failute ICD Codes:

N17.0 - Acute kidney failure with tubular necrosis:

Rapid kidney dysfunction due to acute tubular injury, often caused by ischemia or nephrotoxic agents.

N17.1 - Acute kidney failure with acute cortical necrosis:

Vascular disorders usually cause sudden kidney failure resulting from necrosis of the renal cortex.

N17.2 - Acute kidney failure with medullary necrosis:

Acute kidney failure due to necrosis of the renal medulla is commonly associated with sickle cell disease or NSAID use.

N17.8 - Other acute kidney failure: 

Any other types of acute kidney failure are not classified under N17.0 to N17.2.

N17.9 - Acute kidney failure, unspecified

Acute kidney failure with unspecified etiology or characteristics.
N18.4 - Chronic kidney disease, stage 4 (severe):

Severe decrease in kidney function (GFR 15-29 ml/min/1.73 m²) lasting more than three months.

N18.5 - Chronic kidney disease, stage 5 (end-stage renal disease):

Kidney failure requiring dialysis, transplant, or supportive care (GFR <15 ml/min/1.73 m²).

N19 - Unspecified kidney failure:

Kidney failure with unspecified nature or cause.

N25.0 - Renal osteodystrophy:

Bone changes secondary to chronic kidney disease, often osteoporosis or bone pain.

Which Renal Failure ICD codes are Billable?

The billable status of the ICD-10-CM codes mentioned above is as follows:

N17.0 - Acute kidney failure with tubular necrosis

Yes, billable when the medical record supports the diagnosis of acute kidney failure with tubular necrosis.

N17.1 - Acute kidney failure with acute cortical necrosis

Yes, billable when the medical record confirms acute kidney failure due to acute cortical necrosis.

N17.2 - Acute kidney failure with medullary necrosis

Yes, billable when the medical record supports the diagnosis of acute kidney failure with medullary necrosis.

N17.8 - Other acute kidney failure

Yes, billable when the medical record indicates any other types of acute kidney failure.

N17.9 - Acute kidney failure, unspecified

Yes, billable when the medical record states acute kidney failure with unspecified etiology or characteristics.

N18.4 - Chronic kidney disease, stage 4 (severe)

Yes, billable for patients with stage 4 chronic kidney disease.

N18.5 - Chronic kidney disease, stage 5 (end-stage renal disease)

Yes, billable for patients with end-stage renal disease.

N19 - Unspecified kidney failure

Yes, billable for cases of unspecified kidney failure.

N25.0 - Renal osteodystrophy

Yes, billable when the medical record confirms renal osteodystrophy as a complication of chronic kidney disease.

Clinical Information

  • Renal failure is the inability of the kidneys to adequately filter waste products and regulate fluid balance in the body.
  • Acute kidney failure can occur due to various factors such as dehydration, infections, medications, and kidney damage.
  • Chronic kidney disease is characterized by the gradual loss of kidney function over time and may progress to end-stage renal disease.
  • Renal osteodystrophy is a bone disorder resulting from imbalanced mineral metabolism due to kidney dysfunction.
  • Timely diagnosis and appropriate management are essential to prevent complications and improve patient outcomes.

Synonyms Include

  • Kidney Failure
  • Renal Insufficiency
  • Kidney Dysfunction
  • End-Stage Renal Disease (ESRD)
  • Renal Impairment
  • Chronic Renal Failure
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Commonly asked questions

Can acute kidney failure be reversed?

In some cases, acute kidney failure can be reversed with prompt and appropriate treatment, especially if the underlying cause is addressed timely.

What are the common symptoms of chronic kidney disease?

Common symptoms of chronic kidney disease include fatigue, leg swelling, changes in urine output, and elevated blood pressure.

Can renal osteodystrophy be prevented?

Preventing renal osteodystrophy involves managing chronic kidney disease, maintaining proper mineral and bone health, and following the prescribed treatment plan.

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