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ICD-10-CM 2027

ICD-10 code for kidney impaired

N28.9

Disorder of kidney and ureter, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Impaired, impairment (function) › kidney”. Page updated September 29, 2026.

About coding kidney impaired

The ICD-10-CM code for kidney impaired is N28.9 (Disorder of kidney and ureter, unspecified). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on N28.9.

Within N28, choose N28.9 (Disorder of kidney and ureter, unspecified) only when documentation doesn't support a more specific option: ischemia and infarction of kidney (N28.0), cyst of kidney, acquired (N28.1) and other specified disorders of kidney and ureter (N28.8).

Don't report N28.9 together with the conditions in its Excludes1 note: chronic renal insufficiency (N18.9) and unspecified nephritic syndrome (N05.-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

More specific kidney impaired codes (official index)

  • disorder resulting from N25.9 — Disorder resulting from impaired renal tubular function, unspecified
  • specified NEC N25.89 — Other disorders resulting from impaired renal tubular function

Don't confuse with (Excludes1 for N28.9)

  • chronic renal insufficiency (N18.9)
  • unspecified nephritic syndrome (N05.-)

Common questions about kidney impaired ICD-10 codes

What is the ICD-10 code for kidney impaired?

N28.9 — Disorder of kidney and ureter, unspecified. More specific codes apply when the documentation supports them: N25.9, N25.89.

What is the ICD-10 code for disorder resulting from kidney impaired?

N25.9 — Disorder resulting from impaired renal tubular function, unspecified.

Is N28.9 billable?

Yes. N28.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can N28.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict N28.9 as a principal diagnosis.

Is N28.9 a CC or MCC?

No. N28.9 is neither a CC nor an MCC under MS-DRG v44.0.