ICD-10 Coding for Dialysis(N18.6, Z99.2)
Complete ICD-10-CM coding and documentation guide for Dialysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dialysis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N18.6 | End Stage Renal Disease | For patients with chronic kidney disease stage 5 on dialysis. |
|
| Z99.2 | Dependence on renal dialysis | For patients dependent on dialysis. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for dialysis
Essential facts and insights about Dialysis
Primary ICD-10-CM Codes for dialysis
Decision Criteria
clinical Criteria
- Patient requires chronic dialysis.
Applicable To
- Chronic kidney disease stage 5 requiring dialysis
Z99.2 - Dependence on renal dialysis
For patients dependent on dialysis.
Applicable To
- Patient on dialysis
Excludes
- Temporary dialysis (use N17.x)
Clinical Validation Requirements
- Documentation of dialysis dependence
Coding Notes
Indicates dialysis dependence status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dependence on renal dialysis
Z99.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dialysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N18.6.
Impact
Clinical: Incomplete patient care records., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates with required fields.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always pair Z99.2 with N18.6 for ESRD patients.
Impact
Incomplete documentation of dialysis details.
Mitigation Strategy
Use comprehensive templates.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dialysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dialysis
Use these documentation templates to ensure complete and accurate documentation for Dialysis. These templates include all required elements for proper coding and billing.
Chronic dialysis management
Specialty: NephrologyRequired Elements
- Dialysis type
- Access site
- Frequency
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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