CDI Tip of the Month

OPTUM NEWSLETTERAugust- Coagulation defects and other specified hematological disorders

Please click here to view the 2023 Optum webinar schedule.

Coding Chronic Kidney Disease

  • Coding chronic kidney disease (CKD) to the appropriate stage is very important and is often missed by our providers.   
  • As the GFR decreases, the problem list should be changed to reflect the patient’s status 

  • Clinovations/Smartform will prompt for suspected CKD stage based on GFR values 
  • Avoid: Chronic Kidney Disease N18.0. This code does not define the CKD stage and has no HCC value.

** The new CMS 2024 model increases HCC weights for CKD III-V to 0.13 – 0.8 ** 

Please reach out to Jessica Bryan at with questions or concerns regarding this clinical documentation tip or any other coding guidance.