Other specified diseases of gallbladder
N18.5 is a valid billable ICD-10 diagnosis code for Chronic kidney disease, stage 5 . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 . ICD-10 code N18.5 is based on the following Tabular structure:
Instead, use the following codes:
If chronic kidney disease is documented with hypertension, a combination code from I12 — hypertensive chronic kidney disease — should be reported. Documentation needs to identify the stage as 1-5 or end stage renal disease (ESRD) in order to report an additional code from category N18 — chronic kidney disease.
The ICD-10-CM code for Chronic Kidney Disease (CKD) Stage 3 (N18. 3) has been revised for Fiscal Year 2021.
Category I12 (hypertensive CKD) applies when both HTN and CKD are stated as diagnoses. If the documentation specifically identifies a different cause, CKD should not be coded as hypertensive.
N18. 3, Chronic kidney disease, stage 3 (moderate), N18.
Chronic kidney disease (CKD) N18-
N18. 31- Chronic Kidney Disease- stage 3a. N18. 32- Chronic Kidney Disease- stage 3b.
Coders have been advised to code “CKD” (any stage, or without mention of a stage) to N03. 9, and also to code any concurrent mention of renal failure or impairment (chronic or unspecified) to N18. - or N19 as appropriate.
401.9 - Unspecified essential hypertension | ICD-10-CM.
I13. 0 - Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. ICD-10-CM.
Stage 3a means you have an eGFR between 45 and 59, and Stage 3b means you have an eGFR between 30 and 44.
New. Per our recent Humana audit, it was indicated that diabetes and hypertension have an assumed relationship and it should be coded as E11. 59 (for type 2 diabetic.)
HCC 138 – Chronic Kidney Disease, Moderate (Stage 3)
Hypertensive Heart and Chronic Kidney Disease: The codes in category I13, Hypertensive heart and chronic kidney disease, are combination codes that include hypertension, heart disease and chronic kidney disease, and should be used when there is hypertension with both heart and kidney involvement.
CKD should not be coded as hypertensive if the physician has specifically documented a different cause. The appropriate code from category N18 should be used as a secondary code with a code from category I12 to identify the stage of chronic kidney disease.