Questions and Answers
What stages of chronic kidney disease (CKD) does ICD-10-CM classify based on severity?
What should be coded if a provider documents both a stage of CKD and ESRD?
code only ESRD, N18.6
What should be assigned for a patient with chronic kidney disease and kidney transplant?
the appropriate N18 code and code Z94.0
How is recurrent, persistent or idiopathic hematuria coded?
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What additional code is required for robotic-assisted surgery?
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Study Notes
Chronic Kidney Disease (CKD) Staging
- CKD is classified by severity into five stages, from 1 to 5.
- Stage 2 of CKD is coded as N18.2, indicating mild chronic kidney disease.
- End Stage Renal Disease (ESRD) is coded as N18.6 and should be assigned when documented by the provider.
Coding for CKD and ESRD
- When a provider documents a stage of CKD alongside ESRD, only code N18.6 for ESRD should be used.
- For patients with both CKD and a history of kidney transplantation, use the appropriate N18 code for CKD, along with Z94.0 to indicate kidney transplant status.
Hematuria Coding
- If a physician notes that a patient’s hematuria is recurrent, persistent, or idiopathic, it should be coded under category N02 for recurrent and persistent hematuria.
Robotic Assisted Surgery Coding
- Procedures performed using robotic assistance require an additional code.
- Refer to table 8E0 to find the appropriate code based on the relevant body region.
- The sixth character in the code denotes that the procedure was performed with robotic assistance.
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Description
This quiz covers the staging of Chronic Kidney Disease (CKD), including coding for different stages and conditions such as End Stage Renal Disease (ESRD), hematuria, and robotic-assisted surgeries. Understand the nuances of coding and proper classification for better patient management.
