FY2027 ICD-10-CM reference
N19: Unspecified kidney failure
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Unspecified kidney failure. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: N00-N99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: N00-N99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: N00-N99 (chapter, inherited).
Excludes2
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Source: N00-N99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: N00-N99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: N00-N99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: N00-N99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: N00-N99 (chapter, inherited).
Excludes2
congenital renal failure (P96.0)
Source: N17-N19 (section, inherited).
Excludes2
drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
Source: N17-N19 (section, inherited).
Excludes2
extrarenal uremia (R39.2)
Source: N17-N19 (section, inherited).
Excludes2
hemolytic-uremic syndrome (D59.3-)
Source: N17-N19 (section, inherited).
Excludes2
hepatorenal syndrome (K76.7)
Source: N17-N19 (section, inherited).
Excludes2
postpartum hepatorenal syndrome (O90.41)
Source: N17-N19 (section, inherited).
Excludes2
posttraumatic renal failure (T79.5)
Source: N17-N19 (section, inherited).
Excludes2
prerenal uremia (R39.2)
Source: N17-N19 (section, inherited).
Excludes2
renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
Source: N17-N19 (section, inherited).
Excludes2
renal failure following labor and delivery (O90.41)
Source: N17-N19 (section, inherited).
Excludes2
renal failure postprocedural (N99.0)
Source: N17-N19 (section, inherited).
Instructional note
Uremia NOS
Source: N19 (category, direct).
Excludes1
acute kidney failure (N17.-)
Source: N19 (category, direct).
Excludes1
chronic kidney disease (N18.-)
Source: N19 (category, direct).
Excludes1
chronic uremia (N18.9)
Source: N19 (category, direct).
Excludes1
extrarenal uremia (R39.2)
Source: N19 (category, direct).
Excludes1
prerenal uremia (R39.2)
Source: N19 (category, direct).
Excludes1
renal insufficiency (acute) (N28.9)
Source: N19 (category, direct).
Excludes1
uremia of newborn (P96.0)
Source: N19 (category, direct).
Compare the FY2027 additions, removals and billable-status changes
What does N19 mean in FY2027?
The official ICD-10-CM descriptor is Unspecified kidney failure. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is N19 billable in FY2027?
The FY2027 order file marks N19 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does N19 map to an HCC?
N19 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: no ESRD category; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: no category in the HHS-HCC 2026 benefit year mapping. CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition