Stage 4 Chronic Kidney Disease Documented as CKD G4A3
Published on
Wednesday, June 7, 2023
Question:
How do you code provider documentation of CKD G4A3? Is this the same as stage 4 chronic kidney disease? The provider also noted an estimated glomerular filtration rate of 25 (eGRF25).
Answer:
Yes. According to Coding Clinic, provider documentation of CKD G4A3 is the same as stage 4 chronic kidney disease. This is a new categorization of CKD referred to as CGA staging, and is based on the cause (C), glomerular filtration rate (G) and albuminuria (A). CGA provides a more detailed description of the patient’s CKD. The number following (G) describes the stage of the CKD.
The effective date for this guidance begins with April 1, 2023 discharges.
Refer to the following link for more information regarding the CGA classification: http://ckdpathway.ca/Content/pdfs/Classification_of_CKD.pdf
References:
Coding Clinic for ICD-10-CM/PCS, First Quarter 2023, Page 17
Article Author: Susie James, RHIT, CCS
Susie James, RHIT, CCS, is the Manager of Inpatient Coding Services at MMP, Inc. Susie has worked in the coding field for over 30 years and has worked as a coder, coding supervisor, and corporate coding manager for a large multi-facility system in Birmingham. She also worked for Alabama Quality Assurance Foundation (AQAF) as a coding reviewer/auditor before joining the team at Medical Management Plus, Inc. Susie has previously served as the President of the Alabama Association of Health Information Management (AAHIM) on the Board of Directors and currently serves as the Education/Coding Roundtable Chair. She is also a member of the American Health Information Management Association (AHIMA) and has previously served as the Co-chair for AHIMA's Leadership Team. She also served as a facilitator at AHIMA's 85th National Convention in Atlanta Georgia.
