Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15

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ICD10 Diagnosis
Dx: Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
ICD10 code: N18.5
Pre-ICD10 counterpart: Renal Insufficiency-moderate (Cr greater than 240), CRF - Chronic Renal Failure
Charlson/ALERT Scale: Renal disease
APACHE Como Component: Renal
APACHE Acute Component: 2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

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    • 2019-01-01
    • 2999-12-31
    • N18.5
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Additional Info

See Renal Coding Considerations for ICD10#About Coding Chronic Kidney Disease (CKD)

Definition

  • This stage is defined by having chronic renal insufficiency/disease with: being on chronic dialysis (of any type) OR GFR<15 mL/min.

To calculate the GFR, use this easy website calculator: https://www.mdcalc.com/mdrd-gfr-equation

  • Usually, it'll be identified by being on chronic dialysis

Related to Kidney Transplant

If the patient has a Past history, transplanted kidney, whether it is currently functioning or or not (and even if the failed transplanted organ has been surgically removed), this code should not be used. The reason is that ESRD is implicit if a person has had a kidney transplant. In that situation, instead you have the choices of:

Related to Acute renal failure codes

Could we not use the Acute Renal Failure code for a patient who is categorized as stage 5, but has not yet started dialysis in the community? We will occasionally admit "non-dialysis" stage 5 patients who are admitted with fluid overload and require emergent initiation of dialysis.

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Should this dx be used in the Concept:Acute renal failure or not? That concept is referenced repeatedly and we should be consistent about it.

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Kidney transplant vs ESRD

Alternate ICD10s to consider coding instead or in addition

Renal failure codes:
Chronic kidney disease codes:

Candidate Combined ICD10 codes

  • Code the cause, if known.

Related CCI Codes

CCMDB Data Integrity Checks

Related Articles

Related articles:


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