Wiki Conflicting Stages of CKD

[princesskass16]

If a doctor documents "CKD III Stable" in the active problem list and then in the assessment documents "CKD IV-V Stable", do you code unspecified CKD since there are conflicting stages or code the lowest stage or the highest stage?

I work for a health plan and do not have the ability to query the physician.

 

[mitchellde]

Unfortunate there is no viable solution here. This is probably an EHR error. You will need a copy of the entire note to see what is addressed in the exam. If it is still still not clear then you cannot code it without clarification.

 

[BenCrocker]

I know this might not be useful but I found this anyway: http://www.renal.org/information-resources/the-uk-eckd-guide/ckd-stages#sthash.oUVQ4QAg.dpbs