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N19 - Unspecified kidney failure

ICD-10-CM Chapter 14: Diseases of the genitourinary system · N17-N19 Acute kidney failure and chronic kidney disease (N17-N19) · Top-level category · FY2027

Applicable To

Inclusion terms listed under N19 in the ICD-10-CM tabular list.

  • Uremia NOS

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom N19

Mutually exclusive: these conditions are never reported together with this code.

  • acute kidney failure (N17.-)
  • chronic kidney disease (N18.-)
  • chronic uremia (N18.9)
  • extrarenal uremia (R39.2)
  • prerenal uremia (R39.2)
  • renal insufficiency (acute) (N28.9)
  • uremia of newborn (P96.0)
Excludes 2 — Not Included HereFrom N17-N19 Acute kidney failure and chronic kidney disease (N17-N19)

Not part of this code; report both codes when the patient has both conditions.

  • congenital renal failure (P96.0)
  • drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
  • extrarenal uremia (R39.2)
  • hemolytic-uremic syndrome (D59.3-)
  • hepatorenal syndrome (K76.7)
  • postpartum hepatorenal syndrome (O90.41)
  • posttraumatic renal failure (T79.5)
  • prerenal uremia (R39.2)
  • renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • renal failure following labor and delivery (O90.41)
  • renal failure postprocedural (N99.0)
Excludes 2 — Not Included HereFrom Chapter N00-N99

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Inpatient DRG Payments

DRG 68382,248 discharges

Renal Failure With Cc

Avg. Medicare Payment

$6,682

Total Payment$8,658
Patient Responsibility$1,976
Hospital Charge$40,705
DRG 68277,544 discharges

Renal Failure With Mcc

Avg. Medicare Payment

$11,496

Total Payment$13,729
Patient Responsibility$2,233
Hospital Charge$65,939
DRG 67312,883 discharges

Other Kidney And Urinary Tract Procedures With Mcc

Avg. Medicare Payment

$32,001

Total Payment$37,323
Patient Responsibility$5,322
Hospital Charge$173,196
DRG 6746,312 discharges

Other Kidney And Urinary Tract Procedures With Cc

Avg. Medicare Payment

$18,839

Total Payment$23,041
Patient Responsibility$4,202
Hospital Charge$108,584
DRG 6846,869 discharges

Renal Failure Without Cc/mcc

Avg. Medicare Payment

$4,252

Total Payment$6,136
Patient Responsibility$1,884
Hospital Charge$29,653

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with N19.