OPTUM NEWSLETTER – August- 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 Jessica.M.Bryan@Lahey.org with questions or concerns regarding this clinical documentation tip or any other coding guidance.