Chronic kidney disease, stage 5
ICD-10 N18.5 is a billable code used to indicate a diagnosis of chronic kidney disease, stage 5.
Chronic kidney disease (CKD) stage 5, also known as end-stage renal disease (ESRD), is characterized by a significant decline in kidney function, typically defined as a glomerular filtration rate (GFR) of less than 15 mL/min. At this stage, the kidneys are unable to maintain the body's balance of fluids, electrolytes, and waste products, leading to severe complications. Patients often require renal replacement therapy, which includes dialysis or kidney transplantation, to sustain life. Symptoms may include fatigue, weakness, swelling, and changes in urination patterns. The management of CKD stage 5 involves a multidisciplinary approach, including nephrologists, dietitians, and social workers, to address the complex needs of patients. Regular monitoring of laboratory values, such as serum creatinine and electrolytes, is essential to guide treatment decisions and assess the effectiveness of renal replacement therapies.
Detailed documentation of kidney function tests, treatment plans, and patient education regarding dialysis or transplant options.
Patients presenting with worsening renal function, initiation of dialysis, or evaluation for kidney transplantation.
Ensure accurate staging of CKD and documentation of any acute kidney injury that may complicate the patient's condition.
Comprehensive documentation of transplant evaluations, donor matching, and post-operative care.
Patients undergoing evaluation for kidney transplantation or post-transplant follow-up.
Accurate coding of transplant status and any complications related to the transplant procedure.
Used for patients with CKD stage 5 requiring hemodialysis.
Document the frequency and duration of dialysis sessions.
Nephrology specialists should ensure accurate coding of dialysis sessions.
CKD stage 5 and end-stage renal disease (ESRD) are often used interchangeably, as both indicate a severe decline in kidney function requiring renal replacement therapy. However, CKD stage 5 can also refer to patients who may not yet be on dialysis or have received a transplant.
