Chronic Kidney Disease

"I just went on a very strict renal friendly diet. There are only three things you can’t put in your mouth- a fork, knife and spoon."
 
Documentation for CKD in ICD-10 is not too different than ICD-9:

- Identify the stage (ex: stage 1, 2, etc.).
- Note the dialysis status.
- Detail any underlying or associated conditions (e.g., diabetes, hypertension, etc.).
- Mentionif there is  kidney transplant 

As a reminder, The stages of CKD (Chronic Kidney Disease) are mainly based on measured or estimated GFR (Glomerular Filtration Rate). There are five stages but kidney function is normal in Stage 1, and minimally reduced in Stage 2.

The KDOQI stages of kidney disease are:

Stage	GFR*	Description	Treatment stage
1	90+	Normal kidney function but urine findings or structural abnormalities or genetic trait point to kidney disease	Observation, control of blood pressure.
2	60-89	Mildly reduced kidney function, and other findings (as for stage 1) point to kidney disease	Observation, control of blood pressure and risk factors.
3A 3B	45-59 30-44	Moderately reduced kidney function	Observation, control of blood pressure and risk factors.
4	15-29	Severely reduced kidney function	Planning for endstage renal failure.
5	<15 or on dialysis	Very severe, or endstage kidney failure (sometimes called established renal failure)	Usually dialysis

 

References:

Am J Kidney Dis. 2002 Feb;39(2 Suppl 1):S1-266. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.