End stage renal disease
ICD-10 N18.6 is a billable code used to indicate a diagnosis of end stage renal disease.
End stage renal disease (ESRD) is the final stage of chronic kidney disease (CKD), 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. ESRD can result from various underlying conditions, including diabetes mellitus, hypertension, and glomerulonephritis. The management of ESRD involves careful monitoring of kidney function, fluid intake, and dietary restrictions, as well as addressing comorbidities. Dialysis can be performed via hemodialysis or peritoneal dialysis, and patients may also be evaluated for kidney transplantation. The transition to ESRD is often accompanied by significant changes in a patient's quality of life, necessitating comprehensive care and support.
Detailed records of kidney function tests, dialysis sessions, and patient comorbidities.
Patients transitioning from CKD to ESRD, initiation of dialysis, and evaluation for transplant.
Ensure documentation reflects the patient's functional status and treatment plan.
Comprehensive evaluation reports, surgical notes, and post-operative care documentation.
Assessment of patients for kidney transplant eligibility and post-transplant follow-up.
Accurate coding of transplant-related complications and follow-up care.
Used for patients undergoing regular hemodialysis for ESRD.
Document frequency and duration of dialysis sessions.
Nephrology specialists must ensure accurate reporting of dialysis sessions.
Used when a patient with ESRD receives a kidney transplant.
Comprehensive surgical notes and post-operative care documentation.
Transplant surgeons must document donor and recipient details.
N18.5 refers to chronic kidney disease stage 5, where the patient may not yet require dialysis or transplant, while N18.6 indicates end stage renal disease where renal replacement therapy is necessary.
