ICD-9
QUICK REFERENCE TO FREQUENTLY USED 2015 ICD-9-CM DIAGNOSIS CODES FOR NEPHROLOGY
DISCLAIMER
Note: These codes are valid for billings to Medicare Administrative Contractors (MACs)
for dates of service on or after October 1, 2013. Pending the adoption of ICD-10 on
October 1, 2015, ICD-9 codes can only be used for dates of service on or before
September 30, 2015.
In the absence of written notifications or bulletins from other payers, we recommend that
you verify which version of ICD-9-CM to use for claims with each one of your other payers.
584.x
584.5
584.6
584.7
584.9
Acute kidney failure
With lesion of tubular necrosis
With lesion of renal cortical necrosis
With lesion of renal medullary [papillary]
necrosis
With other specified pathological lesion in
kidney
Acute kidney failure, unspecified
283.x
283.1x
283.11
Acquired hemolytic anemias
Non-autoimmune hemolytic anemias
Hemolytic-uremic syndrome
440.x
440.1
447.x
447.3
584.8
582.81
582.89
582.9
The codes included in this compilation were independently selected by The Lash Group
and are not intended to encourage or suggest a use of PROCRIT® (epoetin alfa) that is
inconsistent with the FDA approved full Prescribing Information, including Boxed
WARNING, for PROCRIT®.
Chronic glomerulonephritis in diseases
classified elsewhere
Other
Chronic glomerulonephritis with unspecified
pathological lesion in the kidney
Atherosclerosis
of renal artery
585.4
585.5
585.6
585.9
Chronic kidney disease (CKD)
Chronic kidney disease, Stage I
Chronic kidney disease, Stage II (mild)
Chronic kidney disease, Stage III
(moderate)
Chronic kidney disease, Stage IV (severe)
Chronic kidney disease, Stage V
End-stage renal disease
Chronic kidney disease, unspecified
Other disorders of arteries and arterioles
Hyperplasia of renal artery
996.8x
996.81
Complications of transplanted organ
Kidney
Bacterial infection in conditions
classified elsewhere and of unspecified
site
This category is provided to be used as an additional
code to identify the bacterial agent in diseases
classified elsewhere. This category will also be used
to classify bacterial infections of unspecified nature
or site.
041.0x Streptococcus
041.00 Streptococcus, unspecified
041.01 Group A
041.02 Group B
041.03 Group C
041.04 Group D [Enterococcus]
041.05 Group G
041.09 Other Streptococcus
041.1x Staphylococcus
041.10 Staphylococcus, unspecified
041.11 Methicillin-susceptible Staphylococcus
aureus
041.12 Methicillin-resistant Staphylococcus aureus
041.19 Other Staphylococcus
041.2
Pneumococcus
041.3
Klebsiella pneumoniae
041.49 Other and unspecified Escherichia coli
[E. coli]
041.5
Hemophilus influenzae [H. influenzae]
041.6
Proteus (mirabilis) (morganii)
041.7
Pseudomonas
753.1x
753.10
753.11
753.12
753.13
Cystic kidney disease
Cystic kidney disease, unspecified
Congenital single renal cyst
Polycystic kidney, unspecified type
Polycystic kidney disease, autosomal
dominant
Polycystic kidney disease, autosomal
recessive
Renal dysplasia
Medullary cystic kidney
Medullary sponge kidney
Other specified cystic kidney disease
041.x
582.x
582.0
582.1
582.2
582.4
582.8x
Chronic glomerulonephritis
With lesion of proliferative
glomerulonephritis
With lesion of membranous
glomerulonephritis
With lesion of membranoproliferative
glomerulonephritis
With lesion of rapidly progressive
glomerulonephritis
With other specified pathological
lesion in kidney
585.x
585.1
585.2
585.3
This quick reference contains many of the more frequently used codes; however, the
ultimate responsibility for correct coding lies with the provider of services.
753.14
753.15
753.16
753.17
753.19
250.x
Diabetes mellitus
The following fifth-digit subclassification is for use
with category 250:
0 type II or unspecified type, not stated as
uncontrolled
1 type I [juvenile type], not stated as uncontrolled
2 type II or unspecified type, uncontrolled
3 type I [juvenile type], uncontrolled
250.1x Diabetes with ketoacidosis
250.2x Diabetes with hyperosmolarity
250.4x Diabetes with renal manifestations
Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9)
diabetic:
nephropathy NOS (583.81)
nephrosis (581.81)
intercapillary glomerulosclerosis (581.81)
Kimmelstiel-Wilson syndrome (581.81)
710.x
Diffuse diseases of connective tissue
710.0
Systemic lupus erythematosus
Use additional code, if desired, to identify
manifestation, as:
endocarditis (424.91)
nephritis (583.81)
chronic (582.81)
nephrotic syndrome (581.81)
276.x
276.0
276.1
276.2
276.3
276.4
276.5x
276.50
276.51
276.52
276.61
276.7
276.8
276.9
Disorders of fluid, electrolyte, and
acid-base balance
Hyperosmolality and/or hypernatremia
Hyposmolality and/or hyponatremia
Acidosis
Alkalosis
Mixed acid-base balance disorder
Volume depletion
Volume depletion, unspecified
Dehydration
Hypovolemia
Transfusion associated circulatory overload
Hyperpotassemia
Hypopotassemia
Electrolyte and fluid disorders not
elsewhere classified
275.x
275.4x
275.40
275.41
275.42
275.49
Disorders of mineral metabolism
Disorders of calcium metabolism
Unspecified disorder of calcium metabolism
Hypocalcemia
Hypercalcemia
Other disorders of calcium metabolism
253.x
253.5
Disorders of the pituitary gland and its
hypothalamic control
Diabetes insipidus
098.x
098.1x
098.19
Gonococcal infections
Acute, of upper genitourinary tract
Other
446.xx Polyarteritis nodosa and allied conditions
446.2x Hypersensitivity angiitis
446.20 Hypersensitivity angiitis, unspecified
446.21 Goodpasture’s syndrome
Use additional code to identify renal disease (583.81)
1 CMS
Transmittal 2727, Change Request 8355 dated
June 14, 2013, states that the ICD-9-CM update became
effective October 1, 2013. The Federal Register, Volume
9, Number 149, dated August 4, 2014, rules that ICD-9
codes can only be used until September 30, 2015.
Janssen Biotech, Inc.
Nephrology
2015
Effective October 1, 20141
ICD-9
QUICK REFERENCE TO FREQUENTLY USED 2015 ICD-9-CM DIAGNOSIS CODES FOR NEPHROLOGY
404.x
Hypertensive heart and kidney disease
The following fifth-digit subclassification is for use
with category 404:
0 without heart failure and with chronic kidney
disease stage I through stage IV or unspecified
Use additional code to identify the stage of
chronic kidney disease (585.1-585.4, 585.9)
1 with heart failure and with chronic kidney
disease stage I through stage IV or unspecified
Use additional code to identify the stage of
chronic kidney disease (585.1-585.4, 585.9)
2 without heart failure and with chronic kidney
disease stage V or end-stage renal disease
Use additional code to identify the stage of
chronic kidney disease (585.5, 585.6)
3 with heart failure and with chronic kidney
disease stage V or end-stage renal disease
Use additional code to identify the stage of
chronic kidney disease (585.5, 585.6)
404.0x Malignant
404.1x Benign
404.9x Unspecified
403.x
Hypertensive kidney disease
The following fifth-digit subclassification is for use
with category 403:
0 with chronic kidney disease stage I through
stage IV or unspecified
Use additional code to identify the stage of
chronic kidney disease (585.1-585.4, 585.9)
1 with chronic kidney disease stage V or end-stage
renal disease
Use additional code to identify the stage of
chronic kidney disease (585.5, 585.6)
403.0x Malignant
403.1x Benign
403.9x Unspecified
590.x
590.0x
590.00
590.01
590.1x
590.10
590.11
590.2
590.3
590.8x
Infections of kidney
Chronic pyelonephritis
Without lesion of renal medullary necrosis
With lesion of renal medullary necrosis
Acute pyelonephritis
Without lesion of renal medullary necrosis
With lesion of renal medullary necrosis
Renal and perinephric abscess
Pyeloureteritis cystica
Other pyelonephritis or pyonephrosis, not
specified as acute or chronic
590.80 Pyelonephritis, unspecified
590.81 Pyelitis or pyelonephritis in diseases
classified elsewhere
Code first underlying disease, as:
tuberculosis (016.0)
583.x
583.0
583.1
583.2
583.4
583.6
583.7
583.8x
Nephritis and nephropathy, not
specified as acute or chronic
With lesion of proliferative
glomerulonephritis
With lesion of membranous
glomerulonephritis
With lesion of membranoproliferative
glomerulonephritis
With lesion of rapidly progressive
glomerulonephritis
With lesion of renal cortical necrosis
With lesion of renal medullary necrosis
With other specified pathological lesion in
kidney
583.81
583.89
583.9
Nephritis and nephropathy, not specified
as acute or chronic, in diseases classified
elsewhere
Other
With unspecified pathological lesion in
kidney
581.x
581.0
Nephrotic syndrome
With lesion of proliferative
glomerulonephritis
581.1
With lesion of membranous
glomerulonephritis
581.2
With lesion of membranoproliferative
glomerulonephritis
581.3
With lesion of minimal change
glomerulonephritis
581.8x With other specified pathological lesion in
kidney
581.81 Nephrotic syndrome in diseases classified
elsewhere
Code first underlying disease as:
amyloidosis (277.3x)
diabetes mellitus (249.4, 250.4)
malaria (084.9)
polyarteritis (446.0)
systemic lupus erythematosus (710.0)
581.89
581.9
Other
Nephrotic syndrome with unspecified
pathological lesion in kidney
447.x
Other disorders of arteries and
arterioles
Hyperplasia of renal artery
Necrosis of artery
Arteritis, unspecified
Other specified disorders of arteries and
arterioles
447.3
447.5
447.6
447.8
424.x
424.9x
424.91
Other diseases of endocardium
Endocarditis, valve unspecified
Endocarditis in diseases classified
elsewhere
Code first underlying disease as:
atypical verrucous endocarditis [Libman-Sacks]
(710.0)
disseminated lupus erythematosus (710.0)
tuberculosis (017.9)
586
Renal failure, unspecified
405.x
405.0x
405.01
405.1x
405.11
405.9x
405.91
Secondary hypertension
Malignant
Renovascular
Benign
Renovascular
Unspecified
Renovascular
016.x
Tuberculosis of genitourinary system
The following fifth-digit subclassification is for use
with categories 010-018:
0 unspecified
1 bacteriological or histological examination not
done
2 bacteriological or histological examination
unknown (at present)
3 tubercle bacilli found (in sputum) by microscopy
4 tubercle bacilli not found (in sputum) by
microscopy, but found by bacterial culture
5 tubercle bacilli not found by bacteriological
examination but tuberculosis confirmed
histologically
6 tubercle bacilli not found by bacteriological
or histological examination but tuberculosis
confirmed by other methods [inoculation of
animals]
016.0x
Adjunctive Care
V59.x
V59.4
Donors
Kidney
V56.x
Encounter for dialysis and dialysis
catheter care
Extracorporeal dialysis
Fitting and adjustment of extracorporeal
dialysis catheter
Fitting and adjustment of peritoneal
dialysis catheter
Encounter for adequacy testing for dialysis
Encounter for adequacy testing for
hemodialysis
Encounter for adequacy testing for
peritoneal dialysis
V56.0
V56.1
V56.2
V56.3x
V56.31
V56.32
V18.x
593.x
593.8x
593.81
593.9
277.xx
277.30
277.31
277.39
446.x
Other disorders of kidney and ureter
Other specified disorders of kidney and
ureter
Vascular disorders of kidney
Unspecified disorder of kidney and ureter
Other and unspecified disorders of
metabolism
Amyloidosis, unspecified
Familial Mediterranean fever
Other amyloidosis
446.0
588.0
Polyarteritis nodosa and allied
conditions
Polyarteritis nodosa
Renal osteodystrophy
587
Renal sclerosis, unspecified
Kidney
V18.6x
V18.61
V18.69
Family history of certain other specific
conditions
Kidney diseases
Polycystic kidney
Other kidney diseases
V42.x
V42.0
Organ or tissue replaced by transplant
Kidney
285.x
285.0
285.2x
285.21
285.22
285.29
285.3
Other and unspecified anemias
Sideroblastic anemia
Anemia in chronic illness
Anemia in chronic kidney disease
Anemia in neoplastic disease
Anemia of other chronic disease
Antineoplastic chemotherapy induced
anemia
Other specified anemias
Anemia, unspecified
285.8
285.9
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