N28.0 — Ischemia and infarction of kidney
N28.0 is a billable, specific ICD-10-CM code for ischemia and infarction of kidney. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Renal artery embolism
- Renal artery obstruction
- Renal artery occlusion
- Renal artery thrombosis
- Renal infarct
Risk adjustment
N28.0 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.
Medicare coverage
N28.0 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56682Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography
How N28.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N28.0.
- Crisis›renal
- Embolism›kidney(artery)
- Embolism›renal(artery)
- Infarct, infarction›brewer's(kidney)
- Infarct, infarction›kidney
- Infarct, infarction›renal(embolic) (thrombotic)
- Ischemia, ischemic›kidney
- Ischemia, ischemic›renal
- Necrosis, necrotic›kidney(bilateral)
- Occlusion, occluded›renal artery
- Thrombosis, thrombotic›kidney(artery)
- Thrombosis, thrombotic›renal(artery)
Related codes at this level
Codes that share N28. If N28.0 is not quite right, the correct code is usually one of these.
Questions about N28.0
- Is N28.0 a billable ICD-10-CM code?
- Yes. N28.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N28.0 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Other disorders of kidney and ureter (N25-N29).
- What cannot be coded together with N28.0?
- N28.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.