ICD-10 Coding for Diabetic Kidney Disease(E11.22, N18.3)
Complete ICD-10-CM coding and documentation guide for Diabetic Kidney Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetic Kidney Disease
E11.22Primary Range
Type 2 diabetes mellitus with diabetic chronic kidney disease
Primary code for diabetic kidney disease when diabetes is the underlying cause.
Chronic kidney disease stages 1-5 and end-stage renal disease
Used to specify the stage of chronic kidney disease in diabetic patients.
Hypertensive chronic kidney disease
Used when hypertension is a contributing factor 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 |
|---|---|---|---|
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | Use when diabetes is the primary cause of CKD. |
|
| N18.3 | Chronic kidney disease, stage 3 | Use to specify stage 3 CKD in conjunction with diabetes codes. |
|
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: ICD-10 code for diabetic kidney disease
Essential facts and insights about Diabetic Kidney Disease
Primary ICD-10-CM Codes for diabetic kidney disease
Decision Criteria
clinical Criteria
- Presence of diabetes with documented CKD
documentation Criteria
- Clear documentation linking diabetes to CKD
Applicable To
- Diabetic nephropathy
- Diabetes with CKD
Excludes
- Type 1 diabetes with CKD (E10.22)
Clinical Validation Requirements
- Documented diagnosis of diabetes
- eGFR <60 mL/min/1.73m²
- ACR ≥30 mg/g
Code-Specific Risks
- Misattribution of CKD cause
- Use of unspecified diabetes codes
Coding Notes
- Ensure diabetes is documented as the cause of CKD.
N18.3 - Chronic kidney disease, stage 3
Use to specify stage 3 CKD in conjunction with diabetes codes.
Applicable To
- Moderate CKD
Excludes
- Acute kidney failure (N17.x)
Clinical Validation Requirements
- eGFR 30-59 mL/min/1.73m²
Coding Notes
Always used in conjunction with a diabetes code when diabetes is the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic kidney disease, stage 3
N18.3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Hypertensive chronic kidney disease
I12.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetic Kidney Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.22.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Fails to meet coding standards., Financial: May result in claim denials.
Mitigation Strategy
Ensure specific CKD stage is documented., Link CKD to diabetes explicitly.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records affecting patient care.
Mitigation Strategy
Always use E11.22 when CKD is related to diabetes.
Impact
Failure to document CKD stage can lead to audit issues.
Mitigation Strategy
Implement regular documentation audits to ensure compliance.
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 Diabetic Kidney Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetic Kidney Disease
Use these documentation templates to ensure complete and accurate documentation for Diabetic Kidney Disease. These templates include all required elements for proper coding and billing.
Nephrology Consultation
Specialty: NephrologyRequired Elements
- Patient history
- Current medications
- eGFR and ACR values
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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