End stage renal disease
- N18.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2025 edition of ICD-10-CM N18.6 became effective on October 1, 2024.
- This is the American ICD-10-CM version of N18.6 – other international versions of ICD-10 N18.6 may differ.
Applicable To
- Chronic kidney disease requiring chronic dialysis
Use Additional
- code to identify dialysis status (Z99.2)
The following code(s) above N18.6 contain annotation back-references
that may be applicable to N18.6:
- N00-N99 Diseases of the genitourinary system
- N17-N19 Acute kidney failure and chronic kidney disease
- N18 Chronic kidney disease (CKD)
Approximate Synonyms
- Anemia due to end stage renal disease
- Anemia in end stage renal disease
- Anemia, end stage renal disease
- Benign htn heart and ckd, esrd, w chf
- Benign hypertensive heart and end stage renal disease
- Benign hypertensive heart and end stage renal disease with congestive heart failure
- Chronic kidney disease
- Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis
- Chronic kidney disease on hemodialysis
- Chronic kidney disease with end stage renal disease on dialysis due to drug induced diabetes mellitus
- Chronic kidney disease with end stage renal disease on dialysis due to secondary diabetes mellitus
- Chronic kidney disease with end stage renal disease on dialysis due to type 1 diabetes mellitus
- Chronic kidney disease with end stage renal disease on dialysis due to type 2 diabetes mellitus
- Chronic kidney disease, esrd due to benign hypertension
- Chronic kidney failure with hypertension
- Dependence on continuous ambulatory peritoneal dialysis due to end stage renal disease
- Dependence on continuous cyclic peritoneal dialysis due to end stage renal disease
- Dependence on dialysis due to end stage renal disease
- Dependence on hemodialysis due to end stage renal disease
- Dependence on peritoneal dialysis due to end stage renal disease
- Diabetes 1 with end stage renal disease on dialysis
- Diabetes 2 with end stage renal disease on dialysis
- Diabetes type 1 on dialysis
- Diabetes type 2 on dialysis
- Dm 2 w diabetic ckd, secondary hyperparathyroidism due to esrd, on dialysis
- Drug induced diabetes chronic kidney disease, dialysis
- End stage renal disease due to hypertension
- End stage renal disease due to hypertension, on dialysis
- End stage renal disease on dialysis
- End stage renal disease on dialysis due to hypertension
- End stage renal disease on dialysis due to type 2 diabetes mellitus
- End stage renal disease on peritoneal dialysis
- Esrd on continuous ambulatory peritoneal dialysis
- Esrd on continuous cyclic peritoneal dialysis
- Hyperparathyroidism due to end stage renal disease on dialysis
- Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
- Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 1 diabetes mellitus
- Hypertension in chronic kidney disease with end stage renal disease on dialysis due to type 2 diabetes mellitus
- Hypertensive chronic kidney disease on dialysis
- Hypertensive chronic kidney disease with dialysis
- Hypertensive chronic kidney disease, severe
- Hypertensive heart and chronic kidney disease on dialysis
- Hypertensive heart and chronic kidney disease on dialysis with congestive heart failure
- Hypertensive heart and kidney disease
- Hypertensive heart disease, kidney disease
- Hypertensive kidney and heart disease, on dialysis
- Malignant htn ckd w esrd on dialysis
- Malignant hypertensive end stage renal disease
- Malignant hypertensive end stage renal disease on dialysis
- Malignant hypertensive heart and end stage renal disease with congestive heart failure
- Secondary diabetes, chronic kidney disease on dialysis
- Secondary hyperparathyroidism due to esrd, on dialysis
- Severe chronic kidney failure with hypertension
- Severe chronic kidney failure with hypertension (htn) on dialysis
Clinical Information
- Chronic, irreversible renal failure.
- Long-standing and persistent renal disease with glomerular filtration rate (gfr) less than 15 ml/min.
ICD-10-CM N18.6 is grouped within Diagnostic Related Group(s) (MS-DRG v42.0):
- 008 Simultaneous pancreas and kidney transplant
- 019 Simultaneous pancreas and kidney transplant with hemodialysis
- 673 Other kidney and urinary tract procedures with mcc
- 674 Other kidney and urinary tract procedures with cc
- 675 Other kidney and urinary tract procedures without cc/mcc
- 682 Renal failure with mcc
- 683 Renal failure with cc
- 684 Renal failure without cc/mcc
Convert N18.6 to ICD-9-CMCode History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
- 2024 (effective 10/1/2023): No change
- 2025 (effective 10/1/2024): No change
Code annotations containing back-references to N18.6:
- Code Also: Z49
- Type 1 Excludes: N18.5
- Use Additional: E08.22, E09.22, E10.22, E11.22, E13.22, Q87.81, I12.0, I13.11
Diagnosis Index entries containing back-references to N18.6:
- Disease, diseased – see also Syndrome
- end stage renal (ESRD) N18.6
- renal (functional) (pelvis) N28.9 – see also Disease, kidney
- end-stage (failure) N18.6
- Failure, failed
- renalN19
- end stage (chronic) N18.6
- renalN19