ICD-10-CM 2027
ICD-10 code for kidney bilateral necrosis
From the official ICD-10-CM alphabetic index entry “Necrosis, necrotic (ischemic) › kidney (bilateral)”. Page updated September 29, 2026.
About coding kidney bilateral necrosis
The ICD-10-CM code for kidney bilateral necrosis is N28.0 (Ischemia and infarction of kidney). The official index lists 10 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on N28.0.
Within N28 (other disorders of kidney and ureter, not elsewhere classified), N28.0 is specifically for ischemia and infarction of kidney. Related codes cover cyst of kidney, acquired (N28.1), other specified disorders of kidney and ureter (N28.8) and disorder of kidney and ureter, unspecified (N28.9).
Don't report N28.0 together with the conditions in its Excludes1 note: atherosclerosis of renal artery (extrarenal part) (I70.1), congenital stenosis of renal artery (Q27.1) and Goldblatt's kidney (I70.1).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
More specific kidney bilateral necrosis codes (official index)
- acute N17.9 — Acute kidney failure, unspecified
- cortical (acute) (bilateral) N17.1 — Acute kidney failure with acute cortical necrosis
- with ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- medullary (bilateral) (in acute renal failure) (papillary) N17.2 — Acute kidney failure with medullary necrosis
- papillary (bilateral) (in acute renal failure) N17.2 — Acute kidney failure with medullary necrosis
- tubular N17.0 — Acute kidney failure with tubular necrosis
- with ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- complicating
- abortion
- ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- pregnancy
- following ectopic or molar pregnancy O08.4 — Renal failure following ectopic and molar pregnancy
- traumatic T79.5 — Traumatic anuria
Don't confuse with (Excludes1 for N28.0)
Common questions about kidney bilateral necrosis ICD-10 codes
What is the ICD-10 code for kidney bilateral necrosis?
- N28.0 — Ischemia and infarction of kidney. More specific codes apply when the documentation supports them: N17.9, N17.1, O08.4, N17.2 and others below.
What is the ICD-10 code for acute kidney bilateral necrosis?
- N17.9 — Acute kidney failure, unspecified.
What is the ICD-10 code for cortical kidney bilateral necrosis?
- N17.1 — Acute kidney failure with acute cortical necrosis.
What is the ICD-10 code for medullary kidney bilateral necrosis?
- N17.2 — Acute kidney failure with medullary necrosis.
What is the ICD-10 code for papillary kidney bilateral necrosis?
- N17.2 — Acute kidney failure with medullary necrosis.
What is the ICD-10 code for tubular kidney bilateral necrosis?
- N17.0 — Acute kidney failure with tubular necrosis.
Is N28.0 billable?
- Yes. N28.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can N28.0 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict N28.0 as a principal diagnosis.
Is N28.0 a CC or MCC?
- N28.0 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.