Codes for Alubumin:Creatinine & Protein:Creatinine Ratio for CKD( Added in
the last 15 months)
44lD. Urine protein/creatinine
ratio
46TC. Urine albumin:creatinine
ratio
Chronic Kidney Disease, Aged 18 years and over
- 1Z12. Chronic kidney disease stage 3
- 1Z13. Chronic kidney disease stage 4
- 1Z14. Chronic kidney disease stage 5
1Z15. Chronic kidney disease stage 3A (v12)
1Z16. Chronic kidney disease stage 3B (v12)
1Z1B. Chronic kidney disease stage 3 with proteinuria (v12)
1Z1C. Chronic kidney disease stage 3 without proteinuria (v12)
1Z1D. Chronic kidney disease stage 3A with proteinuria (v12)
1Z1E. Chronic kidney disease stage 3A without proteinuria (v12)
1Z1F. Chronic kidney disease stage 3B with proteinuria (v12)
1Z1G. Chronic kidney disease stage 3B without proteinuria (v12)
1Z1H. Chronic kidney disease stage 4 with proteinuria (v12)
1Z1J. Chronic kidney disease stage 4 without proteinuria (v12)
1Z1K. Chronic kidney disease stage 5 with proteinuria (v12)
1Z1L. Chronic kidney disease stage 5 without proteinuria (v12)
Exclusion codes
- 9hE1. Excepted from chronic kidney disease quality indicators: Informed
dissent
- 9hE0. Excepted from chronic kidney disease quality indicators: Patient
unsuitable
-
-
Chronic kidney disease 6.1 Rationale
Quantitative measurement of proteinuria will enable appropriate management
of patients with CKD. There is good observational evidence linking proteinuria
to adverse outcome.
NICE recommends the use of ACE inhibitors when there is hypertension and an
ACR of .30mg/mmol. When ACR .70mg/mmol NICE recommends ACE inhibitors are prescribed;
even in the absence of hypertension.
SIGN recommends the use of ACE inhibitors and/or ARBs as agents of choice in
patients with proteinuria >0.5g/day (approximately equivalent to a PCR of >50mg/mmol).
As with BP there are stricter standards for those with diabetes; ACR >2.5mg/mmol
in men and >3.5mg/mmol in women . with or without hypertension.
www.nice.org.uk/Guidance/CG73
www.sign.ac.uk/guidelines/fulltext/103/index.html
Chronic kidney disease 6.2 Reporting and verification
The practice reports the percentage of patients on its CKD register who have
an ACR or PCR test recorded in the preceding 15 months.
Prepared By Jean Keenan