Acute kidney injury superimposed on CKD (HCC) (CMS/HCC)

Answer 1

Acute kidney injury (AKI) superimposed on chronic kidney disease (CKD) is a serious medical condition that can result in a rapid decline in kidney function leading to further complications. This condition is also known as acute on chronic kidney disease, and it is important to manage it promptly to prevent further damage to the kidneys.

In terms of healthcare reimbursement, this condition falls under the Chronic Kidney Disease (CKD) Hierarchical Condition Category (HCC) for the Centers for Medicare and Medicaid Services (CMS). This means that this combination of AKI on top of CKD will factor into the risk adjustment model used for determining payments to healthcare providers. Proper coding and documentation of this condition are crucial for accurate reimbursement and appropriate care management.