Chronic kidney disease, stage 2 (mild)
ICD-10 N18.2 is a billable code used to indicate a diagnosis of chronic kidney disease, stage 2 (mild).
Chronic kidney disease (CKD) stage 2 is characterized by a mild decrease in kidney function, with an estimated glomerular filtration rate (eGFR) ranging from 60 to 89 mL/min/1.73 m². Patients in this stage may not exhibit significant symptoms, but they are at an increased risk for progression to more severe stages of CKD. The condition is often identified through routine blood tests that measure serum creatinine levels and calculate eGFR. Management typically involves controlling underlying conditions such as hypertension and diabetes, dietary modifications, and regular monitoring of kidney function. Patients may also be educated about the importance of lifestyle changes to slow the progression of kidney disease. Early intervention is crucial to prevent complications such as acute kidney injury (AKI), which can occur due to various factors including dehydration, nephrotoxic medications, or acute illnesses. Dialysis and renal replacement therapy are not typically required at this stage, but careful monitoring is essential to assess any changes in kidney function over time.
Detailed documentation of kidney function tests, comorbidities, and treatment plans.
Management of patients with mild CKD, monitoring progression, and adjusting medications.
Ensure all lab results are included in the medical record to support coding.
Routine monitoring of kidney function, documentation of risk factors, and patient education.
Screening for CKD in at-risk populations and managing chronic conditions.
Document lifestyle modifications and patient adherence to treatment plans.
Used to monitor kidney function in CKD patients.
Document lab results and interpretation.
Nephrologists may require more detailed lab analysis.
eGFR is a critical measure of kidney function, and values between 60-89 mL/min indicate stage 2 CKD. Accurate calculation and documentation of eGFR are essential for proper coding and management.