ICD-10 Coding for Anemia due to Chronic Kidney Disease(N18.3, D63.1)
Complete ICD-10-CM coding and documentation guide for Anemia due to Chronic Kidney Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anemia due to Chronic Kidney Disease
N18.1-N18.9Primary Range
Chronic Kidney Disease (CKD) stages
This range includes the stages of CKD which are necessary to identify the primary condition causing anemia.
Anemia in chronic diseases classified elsewhere
This code is used as a secondary code to indicate anemia due to CKD.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N18.3 | Chronic kidney disease, stage 3 (moderate) | Use when CKD stage 3 is documented as the cause of anemia. |
|
| D63.1 | Anemia in chronic kidney disease | Use as a secondary code when anemia is due to CKD. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: How to code anemia due to CKD
Essential facts and insights about Anemia due to Chronic Kidney Disease
Primary ICD-10-CM Codes for anemia due to chronic kidney disease
Decision Criteria
clinical Criteria
- eGFR <60 mL/min/1.73m² with documented anemia
D63.1 - Anemia in chronic kidney disease
Use as a secondary code when anemia is due to CKD.
Applicable To
- Anemia due to CKD
Excludes
- Anemia due to other chronic diseases (D63.8)
Clinical Validation Requirements
- Hemoglobin <13 g/dL (male) or <12 g/dL (female)
Coding Notes
Ensure documentation links anemia to CKD.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dependence on renal dialysis
Z99.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anemia due to Chronic Kidney Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N18.3.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure CKD stage is documented in every relevant note.
Impact
Reimbursement: Incorrect sequencing can lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always sequence a CKD code (N18.x) before D63.1.
Impact
Incorrect sequencing of CKD and anemia codes.
Mitigation Strategy
Regular training on ICD-10 guidelines.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anemia due to Chronic Kidney Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anemia due to Chronic Kidney Disease
Use these documentation templates to ensure complete and accurate documentation for Anemia due to Chronic Kidney Disease. These templates include all required elements for proper coding and billing.
Nephrology Progress Note
Specialty: NephrologyRequired Elements
- CKD stage
- Hemoglobin levels
- ESA therapy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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