ICD code N18.5 is used to identify chronic kidney disease, stage 5, indicating severe loss of kidney function in clinical documentation.
ICD code N18.5 is chronic kidney disease, stage 5, which indicates end-stage renal disease where kidney function is severely reduced and typically requires dialysis or transplantation.
1. Evidence of chronic kidney disease for at least three months
2. Glomerular filtration rate (GFR) less than 15 mL/min/1.73 m²
3. Persistent reduction in kidney function not yet requiring dialysis
4. Laboratory findings indicating severe renal impairment
5. Symptoms may include fatigue, edema, decreased urine output, and signs of uremia
Relevant CPT codes that may be used to treat ICD code N18.5 include:
- 90935: Hemodialysis procedure with single physician evaluation
- 90937: Hemodialysis procedure requiring repeated physician evaluation
- 90945: Dialysis procedure other than hemodialysis (e.g., peritoneal dialysis) with single physician evaluation
- 90947: Dialysis procedure other than hemodialysis requiring repeated physician evaluation
- 90960: End-stage renal disease (ESRD) related services, monthly, for patients 20 years or older, with 4 or more face-to-face visits
- 90961: ESRD related services, monthly, for patients 20 years or older, with 2-3 face-to-face visits
- 90962: ESRD related services, monthly, for patients 20 years or older, with 1 face-to-face visit
- 90963-90966: ESRD related services for patients under 20 years old (age-specific codes)
- 36591: Collection of blood specimen from a completely implantable venous access device
- 36592: Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified
These CPT codes are commonly associated with the management and treatment of patients with ICD code N18.5.
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