N17-N19 Acute Kidney Failure & Chronic Kidney Disease
N17 Acute Kidney Failure
Acute kidney failure and chronic kidney disease N17-N19 >
Type 2 Excludes
congenital renal failure (P96.0)
drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
extrarenal uremia (R39.2)
hemolytic-uremic syndrome (D59.3)
hepatorenal syndrome (K76.7)
postpartum hepatorenal syndrome (O90.4)
posttraumatic renal failure (T79.5)
prerenal uremia (R39.2)
renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
renal failure following labor and delivery (O90.4)
renal failure postprocedural (N99.0)
Acute kidney failure N17- >
Code Also
associated underlying condition
Type 1 Excludes
posttraumatic renal failure (T79.5)
Clinical Information
A disorder characterized by the acute loss of renal function and is traditionally classified
as pre-renal (low blood flow into kidney), renal (kidney damage) and post-renal causes
(ureteral or bladder outflow obstruction).
Clinical syndrome characterized by a sudden decrease in glomerular filtration rate,
usually associated with oliguria and always associated with biochemical consequences
of the reduction in glomerular filtration rate such as a rise in blood urea nitrogen
(bun) and serum creatinine concentrations.
Sudden and sustained deterioration of the kidney function characterized by decreased
glomerular filtration rate, increased serum creatinine or oliguria.
Chronic kidney disease (CKD) N18- >
Code First
any associated:
diabetic chronic kidney disease (E08.22, E09.22, E10.22, E11.22, E13.22)
hypertensive chronic kidney disease (I12.-, I13.-)
Use Additional
code to identify kidney transplant status, if applicable, (Z94.0)
Clinical Information
A disorder characterized by gradual and usually permanent loss of kidney function
resulting in renal failure.
An irreversible and usually progressive reduction in renal function in which both kidneys
have been damaged by a variety of diseases to the extent that they are unable to adequately
remove the metabolic products from the blood and regulate the body's electrolyte composition
and acid-base balance. (from msh98)
Chronic, irreversible renal failure.
Gradual and usually permanent loss of kidney function resulting in renal failure. Causes
include diabetes, hypertension, and glomerulonephritis.
Impairment of the renal function due to chronic kidney damage.
The end-stage of chronic renal insufficiency. It is characterized by the severe irreversible
kidney damage (as measured by the level of proteinuria) and the reduction in glomerular
filtration rate to less than 15 ml per min (kidney foundation: kidney disease outcome quality
initiative, 2002). These patients generally require hemodialysis or kidney transplantation.
You have two kidneys, each about the size of your fist. Their main job is to filter wastes
and excess water out of your blood to make urine. They also keep the body's chemical balance,
elp control blood pressure, and make hormones.chronic kidney disease (ckd) means that your
kidneys are damaged and can't filter blood as they should. This damage can cause wastes to
build up in your body. It can also cause other problems that can harm your health. Diabetes
and high blood pressure are the most common causes of ckd.treatment may include medicines to
lower blood pressure, control blood glucose, and lower blood cholesterol. Ckd can get worse
over time. Ckd may lead to kidney failure. The only treatment options for kidney failure are
dialysis or a kidney transplantation.you can take steps to keep your kidneys healthier longer:
choose foods with less salt (sodium)
keep your blood pressure below 130/80
keep your blood glucose in the target range, if you have diabetes
Unspecified kidney failure N19- >
Applicable To
Uremia NOS
Type 1 Excludes
acute kidney failure (N17.-)
chronic kidney disease (N18.-)
chronic uremia (N18.9)
extrarenal uremia (R39.2)
prerenal uremia (R39.2)
renal insufficiency (acute) (N28.9)
uremia of newborn (P96.0)
Clinical Information
A clinical syndrome associated with the retention of renal waste products or uremic toxins
in the blood. It is usually the result of renal insufficiency. Most uremic toxins are end
products of protein or nitrogen catabolism, such as urea or creatinine. Severe uremia can
lead to multiple organ dysfunctions with a constellation of symptoms.
A condition in which the kidneys stop working and are not able to remove waste and extra
water from the blood or keep body chemicals in balance. Acute or severe renal failure happens
suddenly (for example, after an injury) and may be treated and cured. Chronic renal failure
develops over many years, may be caused by conditions like high blood pressure or diabetes,
and cannot be cured. Chronic renal failure may lead to total and long-lasting renal failure,
called end-stage renal disease (esrd). A person in esrd needs dialysis (the process of cleaning
the blood by passing it through a membrane or filter) or a kidney transplant.
A severe irreversible decline in the ability of kidneys to remove wastes, concentrate urine, and
maintain electrolyte balance; blood pressure; and calcium metabolism.
Acute or chronic condition, characterized by the inability of the kidneys to adequately filter
the blood substances, resulting in uremia and electrolyte imbalances. Acute renal failure is
usually associated with oliguria or anuria, hyperkalemia, and pulmonary edema. Chronic renal
failure is irreversible and requires hemodialysis.
Excess in the blood of urea, creatinine and other nitrogenous end products of protein and aminoacid
metabolism; also, the constellation of signs and symptoms of chronic renal failure.
Healthy kidneys clean your blood by removing excess fluid, minerals and wastes. They also make hormones
that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't
work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body
may retain excess fluid and not make enough red blood cells. This is called kidney failure.if your
kidneys fail, you need treatment to replace the work they normally do. The treatment options are
dialysis or a kidney transplant. Each treatment has benefits and drawbacks. No matter which treatment
you choose, you'll need to make some changes in your life, including how you eat and plan your
activities. But with the help of healthcare providers, family and friends, most people with kidney
failure can lead full and active lives.
Inability of a kidney to excrete metabolites at normal plasma levels under conditions of normal
loading or inability to retain electrolytes under conditions of normal intake.
N18 Chronic Kidney Disease (CKD)
N18.1
Chronic Kidney Disease, Stage 1
N18.2
Chronic Kidney Disease, Stage 2 (Mild)
N18.3
Chronic Kidney Disease, Stage 3 (Moderate)
N18.4
Chronic Kidney Disease, Stage 4 (Severe)
N18.5
Chronic Kidney Disease,
Stage 5
N18.6
End Stage
Renal Disease
N18.9
Chronic Kidney Disease, Unspecified
N19 Unspecified Kidney Failure
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