Skip to main content
COVID-19

Kidney Health Evaluation for Patients with Diabetes (KED)

HEDIS Measure

Kidney Health Evaluation for Patients with Diabetes (KED)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of members 18–85 years of age with diabetes (type 1 and type 2) who received a kidney health evaluation, defined by an estimated glomerular filtration rate (eGFR) and a urine albumin- creatinine ratio (uACR), during the measurement year.

Numerator Compliance

Members who received both an eGFR and a uACR during the measurement year on the same or different dates of service:

  • At least one eGFR
  • At least one uACR identified by either of the following:
    • Both a quantitative urine albumin test and a urine creatinine test with service dates four days or less apart
    • A uACR test

Best Practices

  • Order a diabetes screening test every year and build care gap “alerts” in your electronic medical record
  • Follow up with patients to discuss and educate on effects of diabetes
  • Coordinate care with patients’ other providers
  • Outreach patients who have not had their labs and ask them to complete as soon as possible
  • Discuss with member the Importance of screening for diabetes
  • Educate the member on symptoms of new-onset diabetes
  • Educate the members about the importance of early detection and encourage screening
  • Set care gap “alerts” in your electronic medical record

Quality Value Set Directory Coding Tips

Estimated Glomerular Filtration Rate Lab Test

CPT

  • 80047
  • 80048
  • 80050
  • 80053
  • 80069
  • 82565

LOINC

  • 48642-3
  • 48643-1
  • 50044-7
  • 50210-4
  • 50384-7
  • 62238-1
  • 69405-9
  • 70969-1
  • 77147-7
  • 88293-6
  • 88294-4
  • 94677-2
  • 96591-3
  • 96592-1

SNOMED CT US Edition

  • 12341000
  • 18207002
  • 241373003
  • 444275009
  • 444336003
  • 446913004
  • 706951006
  • 763355007

Quantitative Urine Albumin Lab Test

CPT

  • 82043

LOINC

  • 14957-5
  • 1754-1
  • 21059-1
  • 30003-8
  • 43605-5
  • 53530-2
  • 53531-0
  • 57369-1
  • 89999-7

SNOMED CT US Edition

  • 104486009
  • 104819000

Urine Albumin Creatinine Ratio Lab Test

LOINC

  • 13705-9
  • 14958-3
  • 14959-1
  • 30000-4
  • 32294-1
  • 44292-1
  • 59159-4
  • 76401-9
  • 77253-3
  • 77254-1
  • 89998-9
  • 9318-7

Urine Creatinine Lab Test

CPT

  • 82570

LOINC

  • 20624-3
  • 2161-8
  • 35674-1
  • 39982-4
  • 57344-4
  • 57346-9
  • 58951-5

SNOMED CT US Edition

  • 8879006
  • 36793009
  • 271260009
  • 444322008