October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

N17-N19 — Acute kidney failure and chronic kidney disease

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in range

15

No clinical group

4

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

11 of the 15 codes in N17-N19 group to MMTA - Gastrointestinal tract and Genitourinary system. A further 4 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in N17-N19

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in N17-N19

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
N170Acute kidney failure with tubular necrosisJCan lead a claim
N171Acute kidney failure with acute cortical necrosisJCan lead a claim
N172Acute kidney failure with medullary necrosisJCan lead a claim
N178Other acute kidney failureJCan lead a claim
N179Acute kidney failure, unspecifiedJCan lead a claim
N181Chronic kidney disease, stage 1JCan lead a claim, code first applies
N182Chronic kidney disease, stage 2 (mild)JCan lead a claim, code first applies
N1830Chronic kidney disease, stage 3 unspecifiedJCan lead a claim, code first applies
N1831Chronic kidney disease, stage 3aJCan lead a claim, code first applies
N1832Chronic kidney disease, stage 3bJCan lead a claim, code first applies
N184Chronic kidney disease, stage 4 (severe)JCan lead a claim, code first applies
N185Chronic kidney disease, stage 5NoneCannot lead a claim
N186End stage renal diseaseNoneCannot lead a claim
N189Chronic kidney disease, unspecifiedNoneCannot lead a claim
N19Unspecified kidney failureNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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