ICD-10-CM 2027
ICD-10 code for uremia
From the official ICD-10-CM alphabetic index entry “Uremia, uremic”. Page updated September 29, 2026.
About coding uremia
The ICD-10-CM code for uremia is N19 (Unspecified kidney failure). The official index lists 9 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on N19.
Don't report N19 together with the conditions in its Excludes1 note: acute kidney failure (N17.-), chronic kidney disease (N18.-), chronic uremia (N18.9), extrarenal uremia (R39.2) and 3 more.
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 673 (Other Kidney and Urinary Tract Procedures with MCC, relative weight 4.2525), DRG 674 (Other Kidney and Urinary Tract Procedures with CC, relative weight 2.2504), DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC, relative weight 1.5887), DRG 682 (Renal Failure with MCC, relative weight 1.4656), DRG 683 (Renal Failure with CC, relative weight 0.8647) and DRG 684 (Renal Failure without CC/MCC, relative weight 0.6003), 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.
More specific uremia codes (official index)
- with
- ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- polyneuropathy N18.9 — Chronic kidney disease, unspecified
- chronic NOS N18.9 — Chronic kidney disease, unspecified
- due to hypertension
- complicating
- ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- congenital P96.0 — Congenital renal failure
- extrarenal R39.2 — Extrarenal uremia
- following ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- newborn P96.0 — Congenital renal failure
- prerenal R39.2 — Extrarenal uremia
Don't confuse with (Excludes1 for N19)
Common questions about uremia ICD-10 codes
What is the ICD-10 code for uremia?
- N19 — Unspecified kidney failure. More specific codes apply when the documentation supports them: O08.4, N18.9, N18.9, O08.4 and others below.
What is the ICD-10 code for chronic nos uremia?
- N18.9 — Chronic kidney disease, unspecified.
What is the ICD-10 code for congenital uremia?
- P96.0 — Congenital renal failure.
What is the ICD-10 code for extrarenal uremia?
- R39.2 — Extrarenal uremia.
What is the ICD-10 code for newborn uremia?
- P96.0 — Congenital renal failure.
What is the ICD-10 code for prerenal uremia?
- R39.2 — Extrarenal uremia.
Is N19 billable?
- Yes. N19 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can N19 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict N19 as a principal diagnosis.
Is N19 a CC or MCC?
- No. N19 is neither a CC nor an MCC under MS-DRG v44.0.