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ICD-10-CM Diagnosis Codes - N18.6
  Code Information  
N18.6 - End stage renal disease

The above description is abbreviated. This code description may also have IncludesExcludes, Notes, Guidelines, Examples and other information.

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  Additional Code Information  

Additional Code Information includes:

  • APC Status Indicator
  • Assistant Surgeon (80, 82)
  • Bilateral Surgery (50)
  • CCS Clinical Classification
  • Co-Surgeons (62)
  • Diagnostic Imaging Family
  • Facility MUEs
  • Global Days
  • Hierarchical Condition Categories (HCC)
  • Major Complications or Comorbidities (MCC/CC)
 
  • Medicare Status Code
  • Multiple Procedures (51)
  • Non-Facility MUEs
  • OTS Orthotic
  • PC/TC Indicator (26)
  • Physician Supervisions
  • Team Surgery (66)
  • Type Of Service (TOS)
  • and more...
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  ICD-10 Official Documentation Guidelines  
  ICD-10-CM Reverse Index Lookup  

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  Code History  

View historical information about the code including when it was added, changed, deleted, etc.

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  Dictionary Definitions  
  Dorland's & Jablonski's Dictionaries  

Dorland's Illustrated Medical Dictionary

Applicable terms:
disease
end
renal
stage

See Dorland's pronunciations, definitions, and illustrations of the terms listed above.

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Copyright © 2011 Elsevier, Inc. All Rights Reserved.

Jablonski's Dictionary of Medical Acronyms and Abbreviations

There are currently no terms from Jablonski's Dictionary of Medical Acronyms and Abbreviations linked to this code.
Copyright © 2010 Elsevier, Inc. All Rights Reserved.
  Stedman's Medical Dictionary  

Stedman's Medical Dictionary

Applicable terms:
chronic   
code   
dialysis   
disease   
end   
kidney   
disease (fear of)   
renal   
stage   
end stage   
status   

Subscribers can view pronunciations, definitions, and illustrations of the terms listed above from Stedman's Medical Dictionary.

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Copyright ©2009 Wolters Kluwer Health Lippincott Williams & Wilkins. All Rights Reserved.
  My Notes  

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  Articles & Newsletters  
  AHA Coding Clinic® Articles   (2)  

AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS

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The following AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS Articles refer to this code (N18.6):

2016

  DecisionHealth® Articles   (1)  

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    • Answer Books newsletters
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The following DecisionHealth® Articles are linked to this code (N18.6):

2019


  JustCoding® Newsletter Articles   (4)  

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.

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The following JustCoding® Articles refer to this code (N18.6):

June 11th, 2019

FY 2020 IPPS proposed rule: Summary of proposed changes impacting MS-DRGs, ICD-10-CM/PCS codes

Adriane Martin, DO, FACOS, CCDS, highlights important changes in the 2020 IPPS proposed rule affecting MS-DRG and ICD-10-CM/PCS code assignment.

October 16th, 2018

Q&A: Reporting CHF, ESRD with volume overload

Q: We have a patient admitted with a history of chronic heart failure (CHF) and end-stage renal disease (ESRD) who was admitted with volume overload due to acute kidney injury and dialysis noncompliance. How should we report this in ICD-10-CM?

March 28th, 2017

Reviewing ICD-10-CM coding and anatomy of the endocrine system

Glands located throughout the body are responsible producing hormones and releasing chemicals into the bloodstream as part of the endocrine system. These glands help maintain many important purposes of the body, including metabolism, growth, and reproductive functions.

Note: To access this free article, make sure you first register here if you do not have a paid subscription. 

December 9th, 2015

Outpatient dialysis brings coding challenges

Nearly half a million patients receive dialysis services each year. Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, writes about the ICD-10-CM and CPT® codes providers will need to know in order to report these services accurately.


  TCI Newsletter Articles   (1)  
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The following TCI Newsletter Articles are linked to this code (N18.6):

  ED Coding & Reimbursement Alert   (1)  

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

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2015


  Coding Tips  
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  Web-A-Code - Useful Web Links  
  Medline Plus   from the National Institutes of Health  
  Merck Manuals   Healthlink  
  Medical Laboratory Tests  
Demo
Video

N18.6 is associated with the following medical lab test(s):
(click to see more information about the test)

Disease Management Testing

Arterial Blood Gases
Complete Urinalysis

Screening/Initial Testing

Electrolyte Panel, Serum

Diagnostic Testing

Adenosine Deaminase, RBC
Albumin Random, Urine
Aldosterone, Serum
Alpha 1 Microglobulin, Random, Urine
Ammonia, Urine

Elevated in normal anion gap acidosis due to diarrhea or toluene exposure.

Anti-Neutrophil Cytoplasmic Antibody (ANCA), IgG

Rule out autoimmune disease.

Anti-Streptolysin O (ASO)
Antinuclear Antibody (ANA) Screen

Rule out autoimmune disease.

Biopsy, Kidney
Calcium, 24 Hour, Urine
Complement Component C3, Serum
Complement Component C4
Complement Component CH50

Disease Management Testing

Complete Blood Cell Count (CBC) with Differential

Diagnostic Testing

Creatinine Clearance

Disease Management Testing

Creatinine, 24 Hour, Urine

Diagnostic Testing

Cryoglobulin, Serum
Cyclic Citrullinated Peptide (CCP) Antibodies, IgG
Cystatin C with Estimated GFR, Serum

If 24 hour urine cannot be collected.

Disease Management Testing

Electrolyte Panel, Urine

Diagnostic Testing

Glomerular Basement Membrane Antibody, IgG

Rule out autoimmune disease.

Disease Management Testing

Hepatic Function Panel (Liver Panel)

Diagnostic Testing

Hepatitis B Surface Antigen

Screening for infection with Hepatitis B virus due to dialysis.

Hepatitis C Virus (HCV) Antibody

Screening for infection with Hepatitis C virus due to dialysis.

Human Immunodeficiency Virus (HIV) Antigen and Antibodies Combo, 4th Generation

Screening for infection with HIV virus due to dialysis.

Lactate Dehydrogenase (LDH), Serum
Osmolality, Serum
Osmolality, Urine
Parathyroid Hormone (PTH), Intact
Procalcitonin, Serum

Rule out sepsis.

Disease Management Testing

Protein Creatinine Ratio
Protein, Total, 24 Hour, Urine
Renal Function Panel

Diagnostic Testing

Retinol Binding Protein, Serum

Disease Management Testing

Comprehensive Metabolic Panel

Other Supportive/Alternative Tests

Alpha 1 Microglobulin, 24 Hour, Urine
Alpha 2 Macroglobulin, Serum
Aluminum, 24 Hour, Urine

To monitor aluminum toxicity in patients undergoing dialysis.

Aluminum, Random, Urine

To monitor aluminum toxicity in patients undergoing dialysis.

Aluminum, Serum

To monitor aluminum toxicity in patients undergoing dialysis.

Asymmetric Dimethylarginine, Plasma
Retinol Binding Protein, 24 Hour, Urine
Retinol Binding Protein, Random, Urine


The more advanced "Medical Lab Tests w/CLD Ranks" product includes Clinical Lab Decision (CLD) rankings.

CLD uses a proprietary ranking system that enables healthcare providers to correctly select and order the most relevant tests based on diseases, symptoms, and ICD-10 codes.

Our CLD system scores over 10,000 test-disease/condition pairs, assigns a rank from 1 to 10 and displays the ranks as a simple color coded indicator of clinical relevance, medical necessity and testing indication.

Click here to see an example.

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  ICD-10 MS-DRG Grouper Logic  

View applicable DRGs when this code is used as the Primary Diagnosis, as well as CC status and exclusions.

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  ICD-10 & ICD-9 Cross-A-Code™ (GEMs & RMs)  

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View relationships (or crosswalks) between code sets.

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There is no code relationship information to display.
  WK Drug Dictionary  
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Subscribers with the WK Drug Database® will see Drugs and NDCs related to this code, where applicable.

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  Medicare Policies & Guidelines (NCDs, LCDs, Articles)  

Subscribers may see Information and Crosswalks here for Local Coverage Determinations (LCDs) with information on covered diagnosis and procedure codes.

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  Commercial Payer Policies  
Commercial Payer Policies
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SAMPLE PAGE:  The search results shown below are for "00100" and "Amerigroup"

  Selected Payers:   Amerigroup  
  Applicable Policies  


  Bookmarks:  
  MIPS Quality Measures (formerly PQRS)  

The Merit-based Incentive Payment System (MIPS) is part of the Quality Payment Program (QPP) that was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  It replaced the Physician Quality Reporting System (PQRS) beginning in the performance year 2017.  Quality, which is one category of MIPS, can be reported if an eligible CPT or ICD-10 code is reported for an encounter. 

Learn more about MIPS at qpp.cms.gov.