Full Answer
Creatinine clearance-glomerular filtration abnormal Renal function tests abnormal ICD-10-CM R94.4 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 695 Kidney and urinary tract signs and symptoms with mcc
In the absence of evidence of kidney damage, neither GFR category G1 nor G2 fulfill the criteria for CKD. Abbreviations: ACR, albumin-to-creatinine ratio; CKD, chronic kidney disease.
Normal GFR (≥ 90 mL/min/1.73 m2 ) plus either persistent albuminuria or known structural or hereditary renal disease N18.1 Stage 2 GFR 60 to 89 mL/min/1.73 m2 N18.2 Stage 3 GFR 30 to 59 m./min/1.73m2
Abnormal results of kidney function studies 1 R94.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM R94.4 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of R94.4 - other international versions of ICD-10 R94.4 may differ.
N18. 31- Chronic Kidney Disease- stage 3a. N18. 32- Chronic Kidney Disease- stage 3b.
ICD-10 code N18. 30 for Chronic kidney disease, stage 3 unspecified is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
2022 ICD-10-CM Diagnosis Code N18. 5: Chronic kidney disease, stage 5.
The new codes are: N18. 30 (Chronic kidney disease, stage 3 unspecified), N18. 31 (Chronic kidney disease, stage 3a) and N18.
Chronic kidney disease, stage 3 (moderate) The 2022 edition of ICD-10-CM N18. 3 became effective on October 1, 2021. This is the American ICD-10-CM version of N18.
Chronic kidney disease (CKD) N18-
2: Dependence on renal dialysis.
ICD-10 | Chronic kidney disease, stage 5 (N18. 5)
This code would be a focus of clinical documentation improvement, as stages 4 and 5 are complication/comorbidity (CC) diagnoses, and ESRD is a major complication/comorbidity (MCC).
N18. 31 Chronic Kidney Disease Stage 3a (This code corresponds to Glomerular Filtration Rates (GFRs) between 45 and 59.)
ICD-10 code N18. 3 for Chronic kidney disease, stage 3 (moderate) is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
30: Chronic kidney disease, stage 3 unspecified....that may be applicable to N18.30:N00-N99. 2022 ICD-10-CM Range N00-N99. Diseases of the genitourinary system. ... N17-N19. 2022 ICD-10-CM Range N17-N19. ... N18. ICD-10-CM Diagnosis Code N18.
The eGFR is calculated from a serum creatinine using the CKD EPI equation. 2 Aside from the serum creatinine, other variables required for the equation are sex, age, and race. The eGFR has been shown to be more accurate in estimating the glomerular filtration rate than a 24-hour urine collection for creatinine clearance. 3 Among patients with chronic kidney disease (CKD), the eGFR is instrumental in determining the stage of disease according to the K/DOQI CKD classification.
All estimates of GFR based on serum creatinine will be less accurate for patients at the extremes of muscle mass (including frail elderly, critically ill, or cancer patients), those with unusual diets, and those with conditions associated with reduced secretion or extrarenal elimination of creatinine. Confirmatory tests with exogenous measured GFR or measured creatinine clearance should be performed for people in whom estimates based on serum/plasma/blood creatinine alone may be inaccurate. 4
CKD is defined by the National Kidney Foundation as either kidney damage or a glomerular filtration rate (GFR) less than 60 mL/min/1.73 m2 for three months or more. Kidney damage is defined by pathological abnormalities or markers of kidney damage, including abnormalities in the composition of the blood or urine or abnormalities in imaging tests.
There are numerous causes of CKD, ranging from inflammations such as glomerulonephritis to congenital abnormalities such as certain polycystic kidney diseases. However, the most common causes of CKD are diabetes and hypertension.
Early symptoms of CKD can be vague, such as malaise and fatigue or nausea and vomiting. Other signs and symptoms include:
Chronic kidney disease and its severity are categorized in five stages:
Documenting the stage of CKD—not the GFR—is vital for accurate coding. If the stage is not documented, then code 585.9, Chronic kidney disease, is assigned. If a provider documents both a stage of CKD and ESRD, then only the code for ESRD (585.6) is assigned.