ICD 10 Code for Chronic Kidney Disease Stage 3
If your doctor has diagnosed your patient with CKD, you must document this diagnosis on your medical record. If you use an ICD-10 code to document this condition, you must use the appropriate diagnosis code. The diagnosis code should be based on the severity of the disease, not on the GFR or diagnostic reports.
ICD-10-CM code N18.3
In the ICD-10-CM coding system, chronic kidney disease is a category. This code specifies stage 3 (moderate) of the disease and is nonbillable. It is an alternative code for other types of kidney failure. It is not used in HIPAA-covered transactions.
Patients with this stage of CKD have a GFR of fifteen to 29 and require an access site for dialysis. Additionally, they will need to be evaluated for transplant. The ICD-10-CM code N18.3 for chronic kidney disease stage 3 should be used for medical records rather than for reimbursement purposes.
The VA uses a definition of CKD based on the presence of at least one inpatient diagnosis and two outpatient visits. If the patient has a UACR above 300 mg/g, ACE inhibitors are appropriate treatment. In cases where the cause and effect relationship is not clear, the provider may want to refer to a code category such as I12 or I13.
Chronic kidney disease is a serious condition characterized by gradual loss of kidney function. The kidneys’ main function is to filter waste from the blood and excrete it in the urine. If they fail to do this, wastes accumulate in the body and can lead to other problems. The most common causes of CKD are diabetes and high blood pressure. As the kidneys usually get damaged slowly, patients often have no symptoms until the disease has progressed.
Although CKD is considered irreversible, the majority of patients with Stage 3 do not progress to the more advanced stages of the disease. For this reason, it is important for patients with this stage to work with their doctors to manage the disease and keep them healthy. This can help the doctor detect the need for kidney replacement therapy early and help them live longer.
Diabetic nephropathy is a diagnosis resulting from diabetes. Although this condition is a complication of diabetes, it is not a cause of CKD. This diagnosis is classified as a complication of diabetes and is listed in ICD-10 as code D63. This code should not be the primary diagnosis or the first diagnosis reported.
The first ICD-10 code for diabetes is E11.* for Type 2 diabetes mellitus. However, this code is not appropriate for Type 1 diabetes mellitus, which is characterized by a lack of insulin. For example, if the patient has diabetes and a foot ulcer, the physician should use an additional code for this condition. In addition, he or she should always note the type of diabetes in the medical record.
Although this study uses ICD-9 codes, the recent shift to ICD-10 may have affected the results. An analysis of data from 2016-17 using ICD-10 codes failed to identify significant discrepancies. Further, the study did not look at ICD-10-CM codes for minor changes in eGFR.
The incidence rate for CKD depends on the definition used. Incidence rates for this condition are highest when the eGFR is low and continues to decline. Hospitalization-based definitions of the condition have the highest incidence rates.
Chronic kidney disease (CKD) can be classified into stages depending on severity. Stage three of kidney disease is nonbillable. The ICD 10 code for chronic kidney disease stage 3 is N18.3. To read the complete topic, you must log in or subscribe.
The ICD 9-CM coding manual has 79 codes for renal conditions. The categories include chronic kidney failure, diabetes, systemic disease, nephropathia, and anatomic abnormalities. This makes it possible to use this code to diagnose renal failure in different settings.
The ICD 10 code for chronic kidney disease stage three: Renal failure is N18.2. If GFR is 60 to 29, a patient has a mild to moderately reduced kidney function. They need access to dialysis or be evaluated for a transplant. This code is used for patients without dialysis and those on dialysis.
Despite being a relatively mild condition, stage 3 kidney disease is not curable. However, a majority of patients do not progress to the more advanced stages. Therefore, it’s important to work closely with your doctor to manage your disease. This is because by receiving an accurate diagnosis, you can help your physician determine if you need kidney replacement therapy sooner, which will keep you healthier longer.
CKD may be comorbid with cardiovascular disease. Understanding the relationship between the two conditions can inform strategies for preventing cardiovascular disease, acute renal failure, and ESRD. The diagnosis of CKD is the result of a comorbid condition that has other symptoms, such as high blood pressure or heart failure.
Glomerular Filtration Rate
ICD 10 codes for chronic kidney disease stage 3 are associated with higher sensitivity and specificity compared with ICD-9-CM codes. The study sample of patients in this stage was assessed for a year, with each individual being assigned to the highest-ranking group.
Stage 3 of chronic kidney disease is characterized by a reduced eGFR (eGFR), which is the rate at which the kidneys filter waste. Ideally, an eGFR is greater than 90. If an individual has eGFR of 30 to 44, they are classified as in stage 3b. The goal of treatment in stage 3 is to slow the progression of the disease, so it is important to work closely with your doctor.
Patients with stage three of CKD suffer moderate kidney damage and a reduced glomerular filtration rate. The rate of filtration in this stage ranges from 45 to 59 mL/min. As a result, waste products build up in the blood, which is known as uremia. This can lead to high blood pressure and early bone disease.
The study also sought to create a grading scheme for the condition. The proposed scheme stratifies patients according to their estimated glomerular filtration rate (eGFR). The eGFR is measured in mL/min/1.73 m2. The proposed scheme distinguishes between four strata based on eGFR.
In the VA, 7.6 percent of patients with eGFR greater than 59 ml/min/1.73 m2 were improperly coded. In VA hospitalizations, the rate of wrongly assigned Group A codes was 5.4 times higher than the rate in the non-VA hospitals. This means that ICD 10 codes for chronic kidney disease stage 3 – Glomeric Filtration Rate are inaccurate by up to four times.
There are a variety of codes for CKD, but the most commonly used is N18.3. This code is intended for diagnostic use and is not intended to be used for reimbursement purposes. The new code is more specific and clearly defines the edge of Stage 3 at which mortality becomes a primary concern.
In addition to the above mentioned ICD 10 code for chronic kidney disease stage 3, the ICD 10 coding manual includes 37 renal-related codes. They are grouped into Groups E-G. They have a higher sensitivity of 42.4% than the previous code, but decreased specificity by 93.2 percent.