Chronic kidney disease, stage 4 (severe)
Billable / specificHCC V28 327
N18.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Excludes2
Not included here — may be reported together when both conditions exist.
- certain conditions originating in the perinatal period (P04-P96) (from N18)
- certain infectious and parasitic diseases (A00-B99) (from N18)
- complications of pregnancy, childbirth and the puerperium (O00-O9A) (from N18)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from N18)
- endocrine, nutritional and metabolic diseases (E00-E88) (from N18)
- injury, poisoning and certain other consequences of external causes (S00-T88) (from N18)
- neoplasms (C00-D49) (from N18)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from N18)
- congenital renal failure (P96.0) (from N18)
- drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-) (from N18)
- extrarenal uremia (R39.2) (from N18)
- hemolytic-uremic syndrome (D59.3-) (from N18)
- hepatorenal syndrome (K76.7) (from N18)
- postpartum hepatorenal syndrome (O90.41) (from N18)
- posttraumatic renal failure (T79.5) (from N18)
- prerenal uremia (R39.2) (from N18)
- renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4) (from N18)
- renal failure following labor and delivery (O90.41) (from N18)
- renal failure postprocedural (N99.0) (from N18)
Code first
Sequence the underlying condition first.
Use additional code
Add a code to identify the following, if applicable.
Also known as
- Disease, diseased, kidney, chronic, stage 4
Parent code
- N18Chronic kidney disease (CKD)Header