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Code for estimated glomerular filtration rate (In the last 15 months)

451E. GFR calculated abbreviated MDRD (v8.5)
451F. Glomerular filtration rate
451G. GFR calculated abbreviated MDRD adj for African American origin (v9~code to be issued Q3 2006)

Or

Codes for serum creatinine (In the last 15 months)

44J3. Serum creatinine

44J30 Serum creatinine abnormal

44J31 Serum creatinine low

44J32 Serum creatinine normal

44J33 Serum creatinine raised

44J3z Serum creatinine NOS

44JC. Corrected plasma creatinine level

44JD. Corrected serum creatinine level

44JF. Plasma creatinine level

DM 22.1 Rationale

See DM 13.1

Estimated glomerular filtration rate (eGFR), based on serum creatinine is reported as a better means to detect and monitor early renal disease and will be routinely reported data in 2006. This has, therefore, now been included in indicator 22. In the long term, eGFR should be easier for patients to understand, as log transformation is not required to assess change in renal function.

DM 22.2 Reporting and verification

The practice should report the percentage of patients on the diabetic register who have a record of eGFR or serum creatinine in the previous 15 months.

In verifying that this information has been correctly recorded, a number of approaches could be taken by a PCO:

i. inspection of the output from a computer search that has been used to provide information on this indicator
ii. inspection of a sample of records of patients with diabetes to look at the proportion with recorded eGFR or serum creatinine
iii. inspection of a sample of records of patients for whom a record of eGFR or serum creatinine is claimed, to see if there is evidence of this in the medical records.

Prepared By Jean Keenan