N14 vs N19
N14 (Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions) compared with N19 (Unspecified kidney failure), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. N19 carries an Excludes2 note covering N14: “drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| N14Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions | N19Unspecified kidney failure | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions is a non-billable ICD-10-CM category code (N14). | Unspecified kidney failure is a billable ICD-10-CM diagnosis code (N19). |
| Includes | pyelonephritis | Uremia NOS |
| Use additional code | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) | — |
| Code first | poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources