Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease. I12.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I12.0 became effective on October 1, 2018.
Your eGFR results is given as a stage from 1 of 5:
Late-stage renal disease, also called end-stage kidney disease, occurs when chronic kidney disease (the gradual loss of kidney function) reaches an advanced state. In end-stage renal disease, kidneys are no longer able to work as they should to meet the body’s needs.
The burden of unpleasant symptoms increases with progression of chronic kidney disease (CKD), and includes the emergence of symptoms associated with treatments such as dialysis and immunosuppressive therapy. Pharmacotherapy and alternative therapies may alleviate symptom burden and delay disease progression.
The l ate stage chronic kidney disease drugs market was valued at US$ 4,680.0 million in 2019 and is projected to reach US$ 11,096.9 million by 2027; it is expected to grow at a CAGR of 11.6% from 2020 to 2027.
Per our recent Humana audit, it was indicated that diabetes and hypertension have an assumed relationship and it should be coded as E11. 59 (for type 2 diabetic.)
E11. 22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code I12. 9 for Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
ICD-10 requires first using an I12 code for the combined diagnosis of hypertension and chronic kidney disease: I12. 0, Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end- stage renal disease, I12.
CKD is most likely related to both hypertension and diabetes when the patient has all three conditions. Both high blood sugar and high pressure in the blood vessels will cause the vessels to deteriorate, which can then damage the kidneys.
It is true you wouldn't code both. Diabetic nephropathy is a specific subset of CKD. It is an advanced renal disease due to microvascular damage from hyperglycemia, manifested by proteinuria.
The ICD-10-CM code for Chronic Kidney Disease (CKD) Stage 3 (N18. 3) has been revised for Fiscal Year 2021.
Chronic kidney disease (CKD) is a cause of hypertension and is associated with a high risk of cardiovascular disease. Most patients with CKD die before reaching end-stage renal disease, and cardiovascular disease is the single largest cause of death among such patients.
Coders have been advised to code “CKD” (any stage, or without mention of a stage) to N03. 9, and also to code any concurrent mention of renal failure or impairment (chronic or unspecified) to N18. - or N19 as appropriate.
N18. 31- Chronic Kidney Disease- stage 3a. N18. 32- Chronic Kidney Disease- stage 3b.
21 and E11. 22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
N18. 3, Chronic kidney disease, stage 3 (moderate), N18.
The body system (s) affected 3. The complications affecting the body system (s) When coding diabetes mellitus, you should use as many codes from categories E08-E13* as necessary to describe all of the complications and associated conditions of the disease.
Diabetesandhigh blood pressure are the two main causes of CKD. Diabetes causes damage to many organs, including the kidneys and heart, as well as blood vessels, nerves and eyes. High blood pressure , or hypertension, if poorly controlled, is a leading cause of heart attacks, strokes and CKD.
The ICD-10-CM coding guidelines established by the National Center for Health Care (NCHC) and the Centers for Medicare & Medicaid Services (CMS) for ICD-10-CM assist healthcare professionals and medical coders in selecting the appropriate diagnosis codes to report for a specific patient encounter.
Codes for gestational diabetes are in subcategory O24.4. These codes include treatment modality — diet alone, oral hypoglycemic drugs, insulin — so you do not need to use an additional code to specify medication management. Do not assign any other codes from category O24 with the O24.4 subcategory codes.
The pancreas responds by making more insulin to try and manage the hyperglycemia , but eventually, the pancreas can’t keep up and blood sugar levels rise. Left uncontrolled, the disease progresses into prediabetes and, eventually, type 2 diabetes.
Secondary diabetes — DM that results as a consequence of another medical condition — is addressed in Chapter 4 guidelines. These codes, found under categories E08, E09, and E13, should be listed first, followed by the long-term therapy codes for insulin or oral hypoglycemic agents.
The guidelines state that if the type of diabetes is not documented, the default is type 2. The guidelines also instruct to use additional codes to identify long-term control with insulin (Z79.4) or oral hypoglycemic drugs (Z79.84). You would not assign these codes for short-term use of insulin or oral medications to bring down a patient’s blood ...
This is called insulin resistance, which causes high blood sugar levels (hyperglycemia).
The longer someone has diabetes, and the less controlled their blood sugar is, the higher their risk of serious health complications, including: Cardiovascular disease . Kidney damage ( nephropathy)