Chronic kidney disease (CKD)
Chapter 14:Diseases of the genitourinary system
ICD-10 N18 is a billable code used to indicate a diagnosis of chronic kidney disease (ckd).
Chronic kidney disease (CKD) is a progressive condition characterized by a gradual loss of kidney function over time. It is defined by the presence of kidney damage or a decrease in glomerular filtration rate (GFR) for three months or longer. CKD is classified into five stages based on GFR levels, ranging from stage 1 (mild) to stage 5 (end-stage renal disease). Common causes of CKD include diabetes mellitus, hypertension, and glomerulonephritis. Patients with CKD may experience a variety of symptoms, including fatigue, swelling, and changes in urination. Management of CKD involves controlling underlying conditions, dietary modifications, and potentially renal replacement therapy, such as dialysis or kidney transplantation, as the disease progresses. Regular monitoring of kidney function and associated complications is essential for optimizing patient outcomes.
Detailed history of kidney function, lab results (e.g., serum creatinine, GFR), and treatment plans.
Management of patients with progressive CKD, initiation of dialysis, and pre-transplant evaluations.
Ensure accurate staging of CKD and documentation of any acute exacerbations.
Documentation of diabetes management and its impact on kidney function.
Patients with diabetes presenting with CKD, monitoring of renal function in diabetic patients.
Linking diabetes management to CKD progression and ensuring proper coding of both conditions.
Used for patients with stage 5 CKD requiring renal replacement therapy.
Document the frequency and duration of dialysis sessions.
Nephrology specialists must ensure accurate coding of dialysis sessions.
CKD is a long-term condition characterized by a gradual decline in kidney function, while acute kidney injury is a sudden and often reversible decline in kidney function. Accurate documentation is essential to differentiate between the two for proper coding.
