Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
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.
Additional Info
Definition
- This stage is defined by having chronic renal insufficiency/disease with: being on chronic dialysis (of any type) OR GFR<15 mL/min.
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:
- Past history, transplanted kidney -- use this one if the transplant is working
- Kidney transplant, failure or rejection or unspecified complication -- use this one if there's active rejection, or the transplant has failed
Related to Acute renal failure codes
- This code should never be accompanied by any of the codes representing acute renal failure/insufficiency:
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
- Code the cause, if known.
Template:CCMDB Data Integrity Checks
There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations for ICD10.
Related CCI Codes
CCMDB Data Integrity Checks
Template:CCMDB Data Integrity Checks
Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 and Kidney, acute renal failure, postprocedural can not be coded together. Ttenbergen 14:23, 2018 March 20 (CDT)
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