2025 ICD-10-CM code N17
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Acute kidney failure Diseases of the genitourinary system (N00-N99) Feed
Acute kidney failure; this code encompasses various causes of acute kidney injury.
Modifiers may be applicable depending on the circumstances of service. Consult the most current modifier guidelines for appropriate application.
Medical necessity for treatment of acute kidney failure is established based on the presence of clinical signs and symptoms of AKI, confirmed by laboratory tests indicating a significant decrease in kidney function. The severity of AKI and the need for various interventions (such as dialysis) will influence the medical necessity for specific procedures and treatments.Appropriate documentation is crucial for supporting medical necessity.
The clinical responsibility for a patient with code N17 involves diagnosing the underlying cause of acute kidney failure, monitoring kidney function, managing fluid and electrolyte balance, and providing supportive care.Treatment may range from conservative management to dialysis or other interventions depending on the severity and cause of the kidney failure.
- Diseases of the genitourinary system (N00-N99)
- Acute kidney failure and chronic kidney disease (N17-N19)
In simple words: This code means the kidneys have suddenly stopped working properly.The kidneys are unable to remove waste from the blood, which can cause serious problems.Doctors will need to determine what caused the problem to provide the best treatment.
N17 in the ICD-10-CM classification system represents acute kidney failure.This code is used to classify instances of acute kidney injury (AKI), characterized by a sudden decline in kidney function, leading to the accumulation of waste products in the blood and fluid imbalances.The underlying cause of the AKI should be further specified with additional codes if known (e.g.,due to infection, trauma, or medication).N17 is a broad category and does not specify the exact cause or severity of the kidney failure.
Example 1: A 65-year-old male patient presents to the emergency room with symptoms of acute kidney failure following a severe infection.His serum creatinine is significantly elevated, and urine output is low.Code N17 is used along with codes specifying the infection., A 30-year-old female patient is admitted to the hospital with acute kidney failure secondary to sepsis from pneumonia. Code N17 is used, along with appropriate infection codes and codes for sepsis., A 40-year-old male patient experiences acute kidney injury after taking a nephrotoxic medication.N17 is used along with a code specifying the medication and the adverse effect.
Detailed history and physical examination documenting the onset and progression of symptoms of acute kidney failure.Laboratory results including serum creatinine, blood urea nitrogen (BUN), electrolytes, and urine analysis.Imaging studies (e.g., ultrasound, CT scan) may be required to evaluate the kidneys.Documentation of any underlying conditions or causative factors such as infections, medications, or trauma is essential.Treatment plan and response to treatment should be well documented.
** N17 is a broad code; further specification with additional codes is usually necessary to fully capture the clinical picture.The severity and prognosis of AKI are highly variable and depend on the underlying cause and individual patient factors.
- Payment Status: Active
- Specialties:Nephrology, Internal Medicine, Critical Care Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Office