ICD-10 N18.6
Billable / Specific HCC v28: 136 MCCEnd stage renal disease
About ICD-10-CM N18.6
ICD-10-CM code N18.6 represents End stage renal disease. This is a billable/specific code in the Genitourinary System chapter (block N18). The 2026 edition of ICD-10-CM N18.6 became effective on October 1, 2025.
Coding Tips for N18.6
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
N18.6 is a CMS-HCC v28 risk-adjustment code (category 136). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
N18.6 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N18.6. Per CMS ICD-10-CM Tabular 2026.
- Chronic kidney disease requiring chronic dialysis
Use Additional Code
When coding N18.6, also report these additional codes when applicable.
- code to identify dialysis status (Z99.2)
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Inpatient DRG Impact, MCC
codes End stage renal disease. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for N18.6
Local Coverage Determinations (LCDs) from CMS MACs that list N18.6 as a covered diagnosis.
Showing top 10 of 562 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N18.6.
2 Aetna
2 Cigna
5 Medicare
CPT Codes Commonly Billed with N18.6
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90935 Hemodialysis single — ESRD, CKD stage 5, acute kidney injury, hyperkalemia, hypokalemia, hypernatremia, drug overdose, unspecified kidney failure Nephrology
- 90937 Hemodialysis repeat — ESRD, CKD stage 5, AKI, hyperkalemia, overdose Nephrology
- 36821 AV fistula creation — ESRD, CKD stage 5, dialysis dependent, arterial stricture Nephrology
Convert N18.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N18.6 | 5856 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N18.6
Other codes in section N17-N19 (Acute kidney failure and chronic kidney disease).
ICD-10 N18.6, Billing FAQ
Is ICD-10 code N18.6 billable? +
Yes, N18.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N18.6? +
ICD-10 N18.6 includes: Chronic kidney disease requiring chronic dialysis.
Does N18.6 affect Medicare Advantage HCC risk adjustment? +
Yes. N18.6 maps to CMS-HCC v28 category 136. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Is N18.6 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with N18.6? +
Procedures frequently paired with N18.6 include: 90935, 90937, 36821.
What ICD-9 codes does N18.6 map to? +
Per CMS GEMs, N18.6 maps to ICD-9 codes: 5856. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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