ICD 10 Code for Dialysis - Fit Health Solution

Dialysis is a medical procedure used to artificially remove waste products and excess fluids from the blood when the kidneys can no longer perform this essential function. It is a vital intervention for patients with end-stage renal disease (ESRD) or severe kidney dysfunction. Dialysis helps maintain a balance of electrolytes in the body and removes harmful waste and toxins, ensuring that patients can continue to live a relatively normal life despite compromised kidney function.

Common Dialysis Modalities

There are two primary types of dialysis:

Hemodialysis (HD): N18.6 (chronic kidney disease, stage 5)

Peritoneal Dialysis (PD): Z49.31 (Encounter for peritoneal dialysis)

ICD-10 Codes for Dialysis

The Icd 10 code for dialysis is Z99.2.

ICD-10 provides a range of codes to classify renal failure and dialysis-related conditions, enabling healthcare professionals to accurately document and track these cases. These codes are vital for medical billing, insurance claims, and medical research. Let’s explore some of the most common ICD-10 codes associated with dialysis:

N18.9 – Chronic Kidney Disease, Unspecified
N18.6 – End-Stage Renal Disease
N18.5 – Chronic Kidney Disease, Stage 5
Z99.2 – Dependence on Renal Dialysis
Z49.31 – Encounter for Fitting and Adjustment of Peritoneal Dialysis Catheter
Z49.01 – Encounter for Hemodialysis
N17.0 – Acute Kidney Failure with Tubular Necrosis
N18.4 – Chronic Kidney Disease, Stage 4
T82.7 – Infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts, not elsewhere classified
N18.2 – Chronic Kidney Disease, Stage 2
N17.9 – Acute Kidney Failure, Unspecified
Z99.8 – Dependence on Other Enabling Machines and Devices

2024 ICD-10-CM Diagnosis Code Z99.2

Z99.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2024 edition of ICD-10-CM Z99.2 became effective on October 1, 2023.
This is the American ICD-10-CM version of Z99.2 – other international versions of ICD-10 Z99.2 may differ.

Applicable To

Hemodialysis status
Peritoneal dialysis status
Presence of arteriovenous shunt for dialysis
Renal dialysis status NOS

Type 1 Excludes

encounter for fitting and adjustment of dialysis catheter (Z49.0-)

Type 2 Excludes

noncompliance with renal dialysis (Z91.15-)

The following code(s) above Z99.2 contain annotation back-references that may be applicable to Z99.2:

Z00-Z99 Factors influencing health status and contact with health services
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Convert Z99.2 to ICD-9-CM Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change
2024 (effective 10/1/2023): No change

Indications for Dialysis

Dialysis is recommended when a patient’s kidneys are no longer able to adequately perform their functions. The ICD-10 codes related to the indications for dialysis are as follows:

Chronic Kidney Disease, Stage 5 (CKD5): N 18.6
End-Stage Renal Disease (ESRD): N18.6
Acute Kidney Injury (AKI) Requiring Dialysis: N17.9 (Acute kidney failure, unspecified)

Complications Requiring Dialysis

Various medical conditions and complications can lead to the need for dialysis. Below are some common complications and their corresponding ICD-10 codes:

Hyperkalemia (High Blood Potassium Levels): E87.5 (Hyperkalemia)
Volume Overload or Congestive Heart Failure (CHF): I50 (Heart failure)
Uremia (Urea Buildup in the Blood): N19 (Unspecified kidney failure)
Severe Metabolic Acidosis: E87.2 (Acidosis)
Drug Overdose or Poisoning Requiring Renal Replacement Therapy: T36-T50 (Poisoning by drugs, medicaments, and biological substances)

Dialysis Procedure Codes

Aside from diagnosis codes, there are specific ICD-10 procedure codes used to document the dialysis procedure itself. These codes indicate whether the patient is undergoing hemodialysis or peritoneal dialysis and provide additional details regarding the dialysis process.

Hemodialysis: 5A1D70Z (Hemodialysis, single site, via natural or artificial opening)
Peritoneal Dialysis Catheter Insertion: 0B110Z1 (Insertion of peritoneal dialysis catheter, percutaneous approach)

Conclusion

Dialysis is a life-saving medical intervention for individuals with kidney disease, and ICD-10 codes play a crucial role in documenting the conditions that necessitate this treatment and the procedure itself. Understanding these codes is essential for healthcare professionals, coders, and billing specialists to ensure accurate record-keeping and proper reimbursement.