N28.0
Ischemia and infarction of kidney
N28.0 (also written N280) is a billable ICD-10-CM diagnosis code for ischemia and infarction of kidney. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category N28 (Other disorders of kidney and ureter, not elsewhere classified). The Alphabetic Index lists it under 17 entries. Its coding notes include 3 Excludes1 entries and 9 Excludes2 entries.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (9 notes)
- disorders of kidney and ureter with urolithiasis (N20-N23)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Gastrointestinal tract and Genitourinary system clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 10 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CInclusion terms
Conditions classified to this code.
- Renal artery embolism
- Renal artery obstruction
- Renal artery occlusion
- Renal artery thrombosis
- Renal infarct
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 17 entries
- Crisis, renal
- Embolism (multiple) (paradoxical), artery, renal
- Embolism (multiple) (paradoxical), kidney (artery)
- Embolism (multiple) (paradoxical), renal (artery)
- Infarct, infarction, brewer's (kidney)
- Infarct, infarction, kidney
- Infarct, infarction, renal (embolic) (thrombotic)
- Ischemia, ischemic, kidney
- Ischemia, ischemic, renal
- Necrosis, necrotic (ischemic), kidney (bilateral)
- Obstruction, obstructed, obstructive, artery, renal
- Occlusion, occluded, artery, renal
Show 5 more
- Occlusion, occluded, renal artery
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), artery, arteries (postinfectional), renal
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), kidney (artery)
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), renal (artery)
- Torsion, kidney (pedicle) (leading to infarction)