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 (Claims)
Supplemental Data Submission
- Standard – Electronic Clinical Data System (ECDS) Layout
- Non-Standard - Medical Record
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
- 98979-8
- 98980-6
SNOMED CT US Edition
- 12341000
- 18207002
- 241373003
- 444275009
- 444336003
- 446913004
- 706951006
- 763355007
Quantitative Urine Albumin Lab Test
CPT
- 82043
LOINC
- 1754-1
- 14957-5
- 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
- 9318-7
- 13705-9
- 14958-3
- 14959-1
- 30000-4
- 32294-1
- 44292-1
- 59159-4
- 76401-9
- 77253-3
- 77254-1
- 89998-9
Urine Creatinine Lab Test
CPT
- 82570
LOINC
- 2161-8
- 20624-3
- 35674-1
- 39982-4
- 57344-4
- 57346-9
- 58951-5
SNOMED CT US Edition
- 8879006
- 36793009
- 271260009
- 444322008