Unspecified kidney failure
Chapter 14:Diseases of the genitourinary system
ICD-10 N19 is a billable code used to indicate a diagnosis of unspecified kidney failure.
Unspecified kidney failure, classified under ICD-10 code N19, refers to a condition where the kidneys are unable to maintain normal function, leading to an accumulation of waste products in the body. This condition can arise from various underlying causes, including acute kidney injury (AKI) or chronic kidney disease (CKD). AKI is characterized by a rapid decline in kidney function, often reversible, and can be triggered by factors such as dehydration, medications, or infections. In contrast, CKD is a progressive loss of kidney function over time, often due to diabetes or hypertension. Patients with unspecified kidney failure may require renal replacement therapy, including dialysis, to manage their condition. Dialysis can be either hemodialysis or peritoneal dialysis, depending on the patient's needs and clinical scenario. Additionally, patients with advanced CKD may be evaluated for kidney transplantation, which involves careful consideration of donor availability and recipient eligibility. Accurate coding of unspecified kidney failure is crucial for appropriate management and reimbursement, as it encompasses a wide range of clinical presentations and treatment modalities.
Detailed lab results, history of kidney function, and treatment plans.
Management of patients with AKI or CKD, initiation of dialysis, and pre-transplant evaluations.
Ensure that all relevant lab values and patient history are documented to support the diagnosis.
Comprehensive patient history, medication lists, and assessment of comorbidities.
Evaluation of patients with hypertension or diabetes leading to kidney issues.
Documentation should reflect the progression of kidney disease and any referrals to nephrology.
Used for patients with unspecified kidney failure requiring dialysis.
Document the need for dialysis and patient consent.
Nephrology specialists should ensure that all dialysis sessions are documented.
Used when a patient with unspecified kidney failure is evaluated for transplant.
Document the patient's eligibility and donor information.
Transplant surgeons must provide detailed documentation of the transplant process.
Use N19 when the documentation does not specify the type of kidney failure, and no other specific codes apply.
Documentation should include lab results indicating kidney function, patient history, and any treatments provided.
