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N18.4

Billable

Chronic kidney disease, stage 4 (severe)

HCC Category Mapping

V28HCC 327Chronic Kidney Disease, Stage 4 (Severe)
0.000
V24HCC 137Chronic Kidney Disease, Severe (Stage 4)
0.289
ESRDHCC 137Chronic Kidney Disease, Severe (Stage 4)
0.000
RxHCCHCC 263Chronic Kidney Disease, Stage 4
0.000

What This Code Means

Stage 4 chronic kidney disease where kidney function is severely decreased with a GFR of 15-29, indicating the kidneys are functioning at only 15-29% of normal capacity.

Coding Tips

  • Verify GFR range of 15-29 mL/min/1.73m² is documented; patients at this stage typically require nephrology referral and dialysis planning
  • Document comorbidities and complications such as anemia, bone disease, and hypertension that commonly accompany stage 4 CKD

Clinical Significance

Stage 4 chronic kidney disease represents severe kidney dysfunction (GFR 15-29) requiring active preparation for renal replacement therapy and intensive management of complications. This diagnosis indicates advanced CKD with significant morbidity and healthcare resource utilization requiring specialized nephrology care.

Documentation Requirements

  • Chronic kidney disease stage 4 clearly documented
  • GFR values in the 15-29 range supporting stage 4 classification
  • Active nephrology management and renal replacement therapy planning
  • Assessment and management of CKD-related complications
  • Cardiovascular risk management and monitoring
  • Patient education regarding dialysis and transplant options
  • Laboratory monitoring for CKD-mineral bone disorder and anemia

Commonly Confused Codes

Code Hierarchy

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