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ICD-10-CM 2027

ICD-10 code for senile nephrosclerosis

N26.9

Renal sclerosis, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Nephrosclerosis (arteriolar)(arteriosclerotic) (chronic) (hyaline) › senile”. Page updated September 29, 2026.

About coding senile nephrosclerosis

The ICD-10-CM code for senile nephrosclerosis is N26.9 (Renal sclerosis, unspecified).

Within N26, choose N26.9 (Renal sclerosis, unspecified) only when documentation doesn't support a more specific option: atrophy of kidney (terminal) (N26.1) and Page kidney (N26.2).

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

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.

Common questions about senile nephrosclerosis ICD-10 codes

What is the ICD-10 code for senile nephrosclerosis?

N26.9 — Renal sclerosis, unspecified.

Is N26.9 billable?

Yes. N26.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can N26.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict N26.9 as a principal diagnosis.

Is N26.9 a CC or MCC?

No. N26.9 is neither a CC nor an MCC under MS-DRG v44.0.