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N17 ICD-10-CM Code: Acute kidney failure

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Acute kidney failure and chronic kidney disease (N17-N19)

N17

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Acute kidney failure

Acute kidney failure

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
N1Acute kidney failure and chronic kidney disease (N17-N19)
N17Acute kidney failure

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N17 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N17 in this effective period.

Related Child Codes

Official
N17.0Acute kidney failure with tubular necrosis
N17.1Acute kidney failure with acute cortical necrosis
N17.2Acute kidney failure with medullary necrosis
N17.8Other acute kidney failure
N17.9Acute kidney failure, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for N17 in this effective period.

Excludes 1

Official
  • posttraumatic renal failure (T79.5)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N17 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N17 in this effective period.

Code Also

Official
  • associated underlying condition

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

N17 is the ICD-10-CM diagnosis code for acute kidney failure. N17 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering acute kidney failure and chronic kidney disease (n17-n19).

Header codes like N17 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N17's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N17 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • posttraumatic renal failure (T79.5)

Code Also

  • associated underlying condition

Child Codes

Code Hierarchy

N17Acute kidney failure
N17Acute kidney failure

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