Chronic kidney disease management

Applies to members of:

Commercial group and individual plans

Medicaid and Healthy Michigan Plan


Chronic kidney disease is the progressive loss of kidney function over time, leading eventually to kidney failure.

Medical policy

End-stage Renal Disease (ESRD) - 91526

Clinical practice guideline:

Recommendations from the Michigan Quality Improvement Consortium for screening, diagnosis and aggressive management by clinical stage.

Practice management links

CKDintercept program from the National Kidney Foundation 

Clinician tools from the National Kidney Foundation

Patient education links

CKD information and treatment options for patients from Emmi®

  • To use Emmi, simply enter the patient first and last name, DOB, and email address.

Kidney Smart® classes offered through Davita

Chronic kidney disease services authorizations

Prior authorization is required for many/most services. See the medical policy for details. 

Educational services billing

Payable under HMO/POS, PPO, Medicare:

  • G0420, Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
  • G0421, Face-to-face education services related to the care of chronic kidney disease; group, per session, per one hour