ICD-10 Coding for Renal Dialysis(N18.6, Z99.2)
Complete ICD-10-CM coding and documentation guide for Renal Dialysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Renal Dialysis
Chronic Kidney Disease (CKD) stages
Covers various stages of CKD, which may lead to dialysis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N18.6 | End Stage Renal Disease | Use when the patient is on dialysis due to ESRD. |
|
| Z99.2 | Dependence on renal dialysis | Use to indicate ongoing dialysis dependence. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for renal dialysis
Essential facts and insights about Renal Dialysis
Primary ICD-10-CM Codes for renal dialysis
Decision Criteria
clinical Criteria
- Patient is on dialysis due to ESRD.
Applicable To
- Chronic kidney disease stage 5 with dialysis
Excludes
- Acute kidney failure (N17.-)
Clinical Validation Requirements
- eGFR <15
- Dialysis dependence or transplant evaluation
Code-Specific Risks
- Incorrectly coding CKD stage 5 instead of ESRD
Coding Notes
- Ensure documentation supports ESRD status and dialysis dependence.
Z99.2 - Dependence on renal dialysis
Use to indicate ongoing dialysis dependence.
Applicable To
- Chronic dialysis
Excludes
- Temporary dialysis (Z49.0-)
Clinical Validation Requirements
- Documented dialysis sessions
- Vascular access type
Coding Notes
Ensure dialysis sessions are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Renal Dialysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N18.6.
Impact
Clinical: Inaccurate treatment records, Regulatory: Potential audit issues, Financial: Claim denials
Mitigation Strategy
Regularly update patient records, Verify documentation before coding
Impact
Reimbursement: Incorrect DRG assignment, potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use N18.6 for ESRD with dialysis.
Impact
Lack of detailed dialysis documentation
Mitigation Strategy
Ensure all dialysis sessions and details are recorded.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Renal Dialysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Renal Dialysis
Use these documentation templates to ensure complete and accurate documentation for Renal Dialysis. These templates include all required elements for proper coding and billing.
ESRD patient on dialysis
Specialty: NephrologyRequired Elements
- eGFR value
- Dialysis type
- Vascular access details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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