AHA Coding Clinic® for ICD-9 - 2005 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES
Chronic Kidney Disease
Effective October 1, 2005, changes have been made to the ICD-9-CM classification to recognize more current terminology related to chronic kidney disease (CKD) rather than imprecise terms like chronic renal failure and chronic renal insufficiency. The descriptor for code 585, Chronic renal failure, has been changed to Chronic Kidney Disease. Code 585 has been expanded to recognize current staging of chronic kidney disease developed by the National Kidney Foundation (NKF). According to the NKF, chronic kidney disease is defined according to the presence or absence of kidney damage and the level of kidney function. The stages of chronic kidney...
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Article Overview
This article covers an ICD-9-CM revision addressing chronic kidney disease terminology, staging, and related classification updates introduced effective October 1, 2005. It is aimed at coders and documentation reviewers who need to understand how chronic kidney disease is categorized, what background clinical information supports documentation review, and how dialysis-related encounters are discussed in the context of kidney disease coding.
Why This Topic Matters
Accurate chronic kidney disease reporting depends on current terminology, documented stage, and related status information. This article helps coders recognize the scope of the ICD-9-CM change and the broader clinical context used to support documentation review.
Article Sections
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ICD-9-CM chronic kidney disease update
Introduces the terminology change and the broader update to the chronic kidney disease classification. It also notes the effective date of the revision.
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National Kidney Foundation staging background
Summarizes the clinical framework used to describe chronic kidney disease stages and the role of kidney function measures in staging. It provides background intended to support documentation review.
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Classification table and coding notes
Presents the revised ICD-9-CM classification structure for chronic kidney disease and related guidance about documentation support. It also includes the addendum regarding kidney transplant status.
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Dialysis clinic coding question
Addresses a dialysis-encounter example involving end-stage renal disease and related diagnosis sequencing. The section frames how the article applies the topic in a routine care setting.
What You Will Learn
- How the article frames the ICD-9-CM chronic kidney disease revision
- How chronic kidney disease staging is discussed at a high level
- What background documentation concepts are emphasized for coder review
- How the article presents a dialysis-related encounter scenario
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation reviewers
- Health information management professionals
Codes Discussed
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