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2025 ICD-10-CM code N17.2

Acute kidney failure with medullary necrosis.

Code also any associated underlying conditions contributing to the acute kidney failure. Do not code post-traumatic renal failure (T79.5) with N17.2.

The medical necessity for treatment is established by the presence of acute kidney failure, with medullary necrosis identified as a specific type.Treatment is directed at restoring kidney function and managing associated complications.

Diagnosis and management of the acute kidney failure, including identifying the underlying cause, managing fluid and electrolyte imbalances, and providing supportive care.

In simple words: Sudden loss of kidney function due to damage in the inner part of the kidney (the medulla).

Acute kidney failure with medullary necrosis. Medullary [papillary] necrosis NOS. Acute medullary [papillary] necrosis. Renal medullary [papillary] necrosis.

Example 1: A patient presents with sudden onset of decreased urine output, elevated creatinine, and evidence of tissue damage in the renal medulla on imaging studies., A patient with a known history of analgesic overuse develops acute kidney failure with findings consistent with medullary necrosis., A patient undergoing a complex surgical procedure experiences significant blood loss and subsequently develops acute kidney failure with medullary necrosis.

Detailed clinical findings, including urine output, serum creatinine and BUN levels, imaging studies (e.g., ultrasound, CT scan) showing medullary damage, and documentation of any underlying causes.

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