ICD-10-CM 2027 diagnosis code
N28.0Ischemia and infarction of kidney
N28.0 is a valid, billable ICD-10-CM code for ischemia and infarction of kidney. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Looking up by condition? See ICD-10 code for Kidney bilateral necrosis.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About N28.0
N28.0 is the ICD-10-CM diagnosis code for ischemia and infarction of kidney. It belongs to category N28 (other disorders of kidney and ureter, not elsewhere classified), block N25-N29 (other disorders of kidney and ureter) and chapter 14 (diseases of the genitourinary system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within N28 (other disorders of kidney and ureter, not elsewhere classified), N28.0 is specifically for ischemia and infarction of kidney. Related codes cover cyst of kidney, acquired (N28.1), other specified disorders of kidney and ureter (N28.8) and disorder of kidney and ureter, unspecified (N28.9).
Don't report N28.0 together with the conditions in its Excludes1 note: atherosclerosis of renal artery (extrarenal part) (I70.1), congenital stenosis of renal artery (Q27.1) and Goldblatt's kidney (I70.1).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC, relative weight 1.6398), DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC, relative weight 1.0003) and DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC, relative weight 0.6741), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 593.81 (vascular disorders of kidney).
Coding notes
- Renal artery embolism
- Renal artery obstruction
- Renal artery occlusion
- Renal artery thrombosis
- Renal infarct
Notes that apply from higher levels
Instructions written at a parent level also apply to N28.0.
Broader instructions also apply from N25-N29 Other disorders of kidney and ureter and Chapter 14: Diseases of the genitourinary system.
Alphabetic index entries
17 entriesTerms in the official ICD-10-CM index that lead to N28.0.
- Crisis › renal
- Embolism (multiple) (paradoxical) › artery › renal
- Embolism (multiple) (paradoxical) › kidney (artery)
- Embolism (multiple) (paradoxical) › renal (artery)
- Infarct, infarction › brewer's (kidney)
- Infarct, infarction › kidney
- Infarct, infarction › renal (embolic) (thrombotic)
- Ischemia, ischemic › kidney
- Ischemia, ischemic › renal
- Necrosis, necrotic (ischemic) › kidney (bilateral)
- Obstruction, obstructed, obstructive › artery › renal
- Occlusion, occluded › artery › renal
- Occlusion, occluded › renal artery
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel) › artery, arteries (postinfectional) › renal
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel) › kidney (artery)
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel) › renal (artery)
- Torsion › kidney (pedicle) (leading to infarction)
Codes whose notes reference N28.0
- I74Excludes2
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract
ICD-9-CM equivalent
Converter →- 593.81Vascular disorders of kidneyapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about N28.0
Is N28.0 billable?
- Yes. N28.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can N28.0 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict N28.0 as a principal diagnosis.
Is N28.0 a CC or MCC?
- N28.0 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does N28.0 group to?
- N28.0 is used in the MS-DRG v44.0 logic for MS-DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC), MS-DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC) and MS-DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for N28.0?
- The CMS General Equivalence Mappings map N28.0 to ICD-9-CM 593.81.