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N18.6 ICD-10-CM Code: End stage renal disease

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 11 Excludes2 · 4 use-additional codes · 3 code-first instructions
Risk adjustment
CMS-HCC V28: 1 category · CMS-HCC V22 category 136 · RxHCC V08 category 261

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 008 — SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT (MDC PRE)
  • MS-DRG 019 — SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS (MDC PRE)
  • MS-DRG 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC (MDC 11)
  • MS-DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC (MDC 11)
  • MS-DRG 675 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC (MDC 11)
  • MS-DRG 682 — RENAL FAILURE WITH MCC (MDC 11)
  • MS-DRG 683 — RENAL FAILURE WITH CC (MDC 11)
  • MS-DRG 684 — RENAL FAILURE WITHOUT CC/MCC (MDC 11)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 326 — Chronic Kidney Disease, Stage 5 (supersedes HCC 327, HCC 328, HCC 329)

Other models: CMS-HCC V22 HCC 136 · RxHCC V08 HCC 261

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for N18.6 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on N18.6 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Chronic kidney disease requiring chronic dialysis

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from N17-N19

Code First

Underlying conditions that must be sequenced before this code.

Source: inherited from N18

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify dialysis status (Z99.2)
  • Use additional code, if applicable, to identify:
  • associated cachexia (E88.A) inherited from N18
  • kidney transplant status (Z94.0) inherited from N18

Coder workflow for N18.6

MedCoder structured workflow — derived from this code’s own official record

Choose the right path

  1. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then N18.6.
    No → Continue; do not add an underlying condition the record does not document.

    ReviewE08.22, E09.22, E10.22, E11.22, E13.22, I12

Consider N18.6. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
Severity
Mild, moderate or severe as the provider states it; severity is not inferred from the clinical picture.
Stage
The documented stage decides the sibling code; where a Use Additional Code note asks for a stage code, report it as well.
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes2 — not part of N18.6(11 notes)

    Coding workflow: The conditions named in this note are not included in N18.6. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareP96.0, N14, R39.2, D59.3, K76.7, O90.41

    See the official tabular notes · Guidelines I.A.12.b

  • Code First — sequencing check(3 notes)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before N18.6. Do not add an underlying condition the record does not document.

    ReviewE08.22, E09.22, E10.22, E11.22, E13.22, I12

    See the official tabular notes · Guidelines I.A.13

  • Use Additional Code — after identifying N18.6(4 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with N18.6 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewZ99.2, E88.A, Z94.0

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewE08.22, E09.22, E10.22, E11.22, E13.22, I12

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with N18.6?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewZ99.2, E88.A, Z94.0

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

End stage renal disease is a billable ICD-10-CM diagnosis code (N18.6).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 14: Diseases of Genitourinary System (N00-N99)

1) Stages of chronic kidney disease (CKD) The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD).

Chapter 14: Diseases of Genitourinary System (N00-N99)

If both a stage of CKD and ESRD are documented, assign code N18.6 only.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

2) Hypertensive Chronic Kidney Disease Assign codes from category I12, Hypertensive chronic kidney disease, when both hypertension and a condition classifiable to category N18, Chronic kidney disease (CKD), are present. CKD should not be coded as hypertensive if the provider indicates the CKD is not related to the hypertension.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

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.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

The ap propriate code from category N18, Chronic kidney disease, should be used as a secondary code with a code from category I13 to identify the stage of chronic kidney disease.

Chapter 14: Diseases of Genitourinary System (N00-N99)

2) Chronic kidney disease and kidney transplant status Patients who have undergone kidney transplant may still have some form of chronic kidney disease (CKD) because the kidney transplant may not fully restore kidney function. Therefore, the presence of CKD alone does not constitute a transplant complication. Assign the appropriate N18 code for the patient’s stage of CKD and code Z94.0, Kidney transplant status. If a transplant complication such as failure or rejection or other transplant complication is documented, see section I.C.19.g for information on coding complications of a kidney transplant. If the documentation is unclear as to whether the patient has a complication of the transplant, query the provider.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. Sequencing: 3 Code First instructions — the underlying condition is sequenced before this code when present. See the Code First notes
  2. 4 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  3. 11 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name N18.6 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: N18.5 — Chronic kidney disease, stage 5, N19 — Unspecified kidney failure (via N18.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Code First instructions across 2 chapters: D63.1 — Anemia in chronic kidney disease (via N18.-), I5A — Non-ischemic myocardial injury (non-traumatic) (via N18.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 10 Use Additional Code instructions across 3 chapters: E08.22 — Diabetes mellitus due to underlying condition with diabetic chronic kidney disease, E09.22 — Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease, E10.22 — Type 1 diabetes mellitus with diabetic chronic kidney disease, E11.22 — Type 2 diabetes mellitus with diabetic chronic kidney disease, E13.22 — Other specified diabetes mellitus with diabetic chronic kidney disease, I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease, I13.11 — Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease, I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease, I75.81 — Atheroembolism of kidney (via N18.-), Q87.81 — Alport syndrome.

These codes instruct coders to additionally report this code when it applies.

Referenced by 13 Code Also instructions across 4 chapters: D59.3 — Hemolytic-uremic syndrome (via N18.-), E20.810 — Autosomal dominant hypocalcemia (via N18.-), N00 — Acute nephritic syndrome (via N18.-), N00-N08 — Glomerular diseases (N00-N08) (via N18.-), N01 — Rapidly progressive nephritic syndrome (via N18.-), N02 — Recurrent and persistent hematuria (via N18.-), N03 — Chronic nephritic syndrome (via N18.-), N04 — Nephrotic syndrome (via N18.-), N05 — Unspecified nephritic syndrome (via N18.-), N06 — Isolated proteinuria with specified morphological lesion (via N18.-), N07 — Hereditary nephropathy, not elsewhere classified (via N18.-), N08 — Glomerular disorders in diseases classified elsewhere (via N18.-), Z49 — Encounter for care involving renal dialysis.

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 153 clinically related codes on its CMS exclusion list. Does not count toward severity when the stay groups to DRGs 673-675 (Other Kidney and Urinary Tract Procedures).

Named in the grouper logic of 8 MS-DRGs: DRG 008 (MDC PRE), DRG 019 (MDC PRE), DRG 673 (MDC 11), DRG 674 (MDC 11), DRG 675 (MDC 11), DRG 682 (MDC 11), DRG 683 (MDC 11), DRG 684 (MDC 11).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN003 — Chronic kidney disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

N15.0 — Balkan nephropathy, N15.1 — Renal and perinephric abscess, N15.8 — Other specified renal tubulo-interstitial diseases, N15.9 — Renal tubulo-interstitial disease, unspecified, N17.0 — Acute kidney failure with tubular necrosis, N17.1 — Acute kidney failure with acute cortical necrosis, N17.2 — Acute kidney failure with medullary necrosis, N17.8 — Other acute kidney failure, N17.9 — Acute kidney failure, unspecified, N18.1 — Chronic kidney disease, stage 1, N18.2 — Chronic kidney disease, stage 2 (mild), N18.30 — Chronic kidney disease, stage 3 unspecified, N18.31 — Chronic kidney disease, stage 3a, N18.32 — Chronic kidney disease, stage 3b, N18.4 — Chronic kidney disease, stage 4 (severe), N18.5 — Chronic kidney disease, stage 5, N18.9 — Chronic kidney disease, unspecified, N26.1 — Atrophy of kidney (terminal), Q60.1 — Renal agenesis, bilateral, Q60.6 — Potter's syndrome, +132 more

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Chronic Kidney Disease, Stage 5) for risk-adjusted payment.

I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease, I13.11 — Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease, I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease, N18.5 — Chronic kidney disease, stage 5

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Chronic Kidney Disease, Severe (Stage 4), Chronic Kidney Disease, Moderate (Stage 3B), Chronic Kidney Disease, Moderate (Stage 3, Except 3B)

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Chronic kidney disease).

I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease, I12.9 — Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, 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, I13.10 — Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, I13.11 — Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease, I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease, N18.1 — Chronic kidney disease, stage 1, N18.2 — Chronic kidney disease, stage 2 (mild), N18.3 — Chronic kidney disease, stage 3 (moderate), N18.30 — Chronic kidney disease, stage 3 unspecified, N18.31 — Chronic kidney disease, stage 3a, N18.32 — Chronic kidney disease, stage 3b, N18.4 — Chronic kidney disease, stage 4 (severe), N18.5 — Chronic kidney disease, stage 5, N18.9 — Chronic kidney disease, unspecified, R88.0 — Cloudy (hemodialysis) (peritoneal) dialysis effluent, Z49.01 — Encounter for fitting and adjustment of extracorporeal dialysis catheter, Z49.02 — Encounter for fitting and adjustment of peritoneal dialysis catheter, Z49.31 — Encounter for adequacy testing for hemodialysis, Z49.32 — Encounter for adequacy testing for peritoneal dialysis, +6 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Failure, failed”; these codes share that main term but sit in a different category of the Tabular List.

K91.82 — Postprocedural hepatic failure (hepatic, postprocedural), M27.61 — Osseointegration failure of dental implant (dental implant, pre-integration), M27.62 — Post-osseointegration biological failure of dental implant (dental implant, due to, occlusal trauma), M27.63 — Post-osseointegration mechanical failure of dental implant (dental implant, post-osseointegration, mechanical), M27.69 — Other endosseous dental implant failure (dental implant), N17.0 — Acute kidney failure with tubular necrosis (renal, with, tubular necrosis), N17.1 — Acute kidney failure with acute cortical necrosis (renal, acute, with, cortical necrosis), N17.2 — Acute kidney failure with medullary necrosis (renal, acute, with, medullary necrosis), N17.8 — Other acute kidney failure (renal, acute, specified NEC), N17.9 — Acute kidney failure, unspecified (renal, acute), N19 — Unspecified kidney failure (renal), N52.9 — Male erectile dysfunction, unspecified (erection), N91.0 — Primary amenorrhea (menstruation at puberty), N97.0 — Female infertility associated with anovulation (ovulation causing infertility), N99.0 — Postprocedural (acute) (chronic) kidney failure (renal, postprocedural), N99.89 — Other postprocedural complications and disorders of genitourinary system (vasectomy), O08.4 — Renal failure following ectopic and molar pregnancy (renal, following, ectopic or molar pregnancy), O29.12 — Cardiac failure due to anesthesia during pregnancy (heart, complicating, anesthesiaor other sedation, in pregnancy), O29.6 — Failed or difficult intubation for anesthesia during pregnancy (intubation during anesthesia, in pregnancy), O32.4 — Maternal care for high head at term (descent of head), +129 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Gamma-glutamyl Transferase (GGT) Test, HIV Screening Test, Iron Panel, Lipid Panel, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of N18.6 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run N18.6 with these 21 related codes in Claim Check

Hierarchy

Use Additional Code

Referenced by Excludes1 notes

Referenced by Code First instructions

Referenced by Use Additional Code instructions (10)

Referenced by Code Also instructions (13)

Clinical classification (CCSR)

Risk adjustment (CMS-HCC)

  • HCC 326 — Chronic Kidney Disease, Stage 5 [CMS-HCC]: “Chronic Kidney Disease, Stage 5 — supersedes HCC 327 (Chronic Kidney Disease, Severe (Stage 4)), HCC 328 (Chronic Kidney Disease, Moderate (Stage 3B)), HCC 329 (Chronic Kidney Disease, Moderate (Stage 3, Except 3B))”— CMS-HCC V28 · 2026

MS-DRG Grouper

MDC crossing

  • Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 153 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,574 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Disease, diseased, end stage renal (ESRD)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Disease, diseased, renal (functional) (pelvis), end-stage (failure)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Failure, failed, renal, end stage (chronic)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (10)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Real-World Coding Questions

Questions working coders have asked about this code, answered from official sources and reviewed by an editor.

Common coding questions

What makes N18.6 different from CKD stage 5?

The ESRD documentation: N18.6 is assigned when the provider documents end stage renal disease, and when both a CKD stage and ESRD are documented, N18.6 alone is assigned (Guidelines Section I.C.14.a.1). Its inclusion term carries “Chronic kidney disease requiring chronic dialysis,” and its Use Additional Code note asks for the dialysis status code (Z99.2). See Hypertension with CKD for the I12.0 / I13.- combinations this stage can trigger.

Which codes accompany N18.6 on a typical claim?

Z99.2 for the dialysis dependence (the code’s own Use Additional note), the Code First combination when diabetic (E08.22, E09.22, E10.22, E11.22, E13.22) or hypertensive (I12.-, I13.-) CKD is documented, and Z94.0 when the patient is a kidney transplant recipient.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Risk adjustment Official source data
2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "N18.6 — End stage renal disease." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/n18.6-end-stage-renal-disease

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    End stage renal disease

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N18.6 in its code family, with their registry titles.

View all codes in the N18 family