MCMCB Pro
N18

N18Chronic kidney disease (CKD)

Non-billable headerICD-10-CM

N18 is a non-billable header ICD-10-CM code for chronic kidney disease (ckd). It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

Use additional code

Add a secondary code to capture the detail described below.

  • code, if applicable, to identify:
  • associated cachexia (E88.A)
  • kidney transplant status (Z94.0)

Other codes that can never be billed with N18

These codes carry an Excludes1 note pointing at N18. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N18 alone.

  • N18.5Chronic kidney disease, stage 5
  • N19Unspecified kidney failure
  • N28.9Disorder of kidney and ureter, unspecified

Risk adjustment

N18 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N18

7 child codes. Green means billable.

Questions about N18

Is N18 a billable ICD-10-CM code?
No. N18 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N18 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Acute kidney failure and chronic kidney disease (N17-N19).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.