Chronic kidney disease, Stage V

This code signifies end-stage renal disease (ESRD) or severe chronic kidney disease (CKD) where the glomerular filtration rate (GFR) is less than 15 mL/min/1.73 m², or the patient is on dialysis. It indicates a near-total or total loss of kidney function requiring renal replacement therapy or intensive medical management.

Apply this code when documentation clearly states "Stage 5 CKD," "ESRD," or "end-stage renal disease." It is also appropriate when the GFR is consistently below 15 mL/min/1.73 m² and the physician explicitly links this to severe chronic kidney disease.

• Always sequence this code as a secondary diagnosis when a more specific cause of the CKD (e.g., diabetic nephropathy) is known.
• Do not use this code if the patient is only described as having "renal insufficiency" without a specified stage.
• Ensure the medical record supports the diagnosis with GFR values or explicit physician documentation of Stage V CKD/ESRD.