Name of the Condition

• Chronic Kidney Disease, Stage 3a
• Also known as CKD Stage 3a

Summary

Chronic Kidney Disease (CKD) Stage 3a is a condition where the kidneys show moderate decrease in function. It is part of a progressive decline in kidney function that can occur over months or years. While kidney function is impaired, many patients continue to feel well and may not realize they have CKD.

Causes

CKD is often caused by long-term conditions such as diabetes, high blood pressure, or other kidney diseases. It can also result from recurrent kidney infections or genetic disorders.

Risk Factors

• Advanced age
• Family history of kidney disease
• High blood pressure
• Diabetes
• Obesity
• Smoking
• Cardiovascular disease

Symptoms

Although Stage 3a often has few symptoms, patients may experience fatigue, swelling in hands or feet, changes in urination patterns, and high blood pressure.

Diagnosis

CKD Stage 3a is diagnosed using:

• Blood tests to measure creatinine and calculate estimated Glomerular Filtration Rate (eGFR)
• Urine tests for albumin or protein
• Ultrasound or imaging tests to assess kidney structure

Treatment Options

• Medications to control blood pressure and blood sugar
• Diet modifications to reduce protein, salt, and potassium intake
• Lifestyle changes such as weight management and smoking cessation
• Monitoring and managing related conditions like diabetes and hypertension

Prognosis and Follow-Up

With proper management, progression to more severe stages can be slowed. Regular follow-ups including blood tests to monitor kidney function and blood pressure measurements help manage the condition and prevent complications.

Complications

• Progression to Stage 4 or 5 CKD
• Cardiovascular diseases
• Anemia
• Bone disease
• Electrolyte imbalance

Lifestyle & Prevention

• Maintaining a healthy diet low in sodium and protein
• Regular physical activity
• Controlling blood pressure and blood sugar levels
• Avoiding smoking and excessive use of alcohol

When to Seek Professional Help

Seek medical help if experiencing significant fatigue, swelling, changes in urination, or if diagnosed with risk factors associated with CKD.

Additional Resources

• National Kidney Foundation: www.kidney.org
• American Association of Kidney Patients: www.aakp.org

Tips for Medical Coders

• Ensure accurate documentation of the stage of CKD as it significantly impacts treatment and care.
• Confirm associated conditions like diabetes or hypertension for comprehensive coding.
• Verify patient history and tests results to avoid errors in staging.