Home Providers Health Care Provider Resources Estimated Glomerular Filtration Rate Reporting

Article | March 2007

Estimated Glomerular Filtration Rate (eGFR) Reporting

Help slow the progress of your patient's chronic kidney disease.

Adverse outcomes of chronic kidney disease (CKD) can often be prevented or delayed through early detection and treatment.

Who It's For

The eGFR is a value based on a patient's serum creatinine, age, gender, and race. This calculation only applies to patients 18 years and older and provides results for both African and non-African Americans.

Cigna HealthcareSM advises physicians to automatically include the eGFR on lab reports for its participants when a serum creatinine has been requested and the age and gender is provided. Since a separate lab test is not required, including the eGFR won't increase the cost of the lab test.

National Kidney Foundation Guidelines

Among patients with chronic kidney disease, the stage of disease should be assigned based on the level of kidney function, irrespective of diagnosis, as described by the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) CKD Classification. View NKF KDOQI guidelines for more recommendations and resources on how to improve care of patients with CKD.

National Kidney Foundation CKD Classification

Stage Description
eGFR (mL/min/1.73m2)
Stage 1
Kidney damage with normal GFR
= or > 90
Stage 2
Kidney damage with mild decrease in GFR
60 - 89
Stage 3
Kidney damage with moderate decrease in GFR
30 - 59
Stage 4
Kidney damage with severe decrease in GFR
15 - 29
Stage 5
Kidney failure
> 15

Patients with CKD should be referred to a specialist for consultation and co-management if:

  • The clinical action plan cannot be prepared
  • The prescribed evaluation of the patient cannot be carried out, or
  • The recommended treatment cannot be carried out

In general, patients with GFR; 30 mL/min/1.73m2 should be referred to a nephrologist. However, patients with eGFR results between 30 and 60 mL/min/1.73m2 should be evaluated for the presence of urine microalbumin and other risk factors associated with CKD such as hypertension and diabetes.

I want to...
  • Get an ID card
  • File a claim
  • View my claims and EOBs
  • Check coverage under my plan
  • See prescription drug list
  • Find an in-network doctor, dentist, or facility
  • Find a form
  • Find 1095-B tax form information
  • View the Cigna Healthcare Glossary
  • Contact Cigna Healthcare
  • Audiences
  • Individuals and Families
  • Medicare
  • Employers
  • Brokers
  • Providers
  • Third Party Administrators
  • International
  • Manage Your Account
  • myCigna Member Portal
  • Provider Portal
  • Cigna for Employers
  • Cigna for Brokers
  • Cigna Healthcare. All rights reserved.
  • Privacy
  • Terms of Use
  • Legal
  • Product Disclosures
  • Company Names
  • Customer Rights
  • Accessibility
  • Report Fraud
  • Sitemap
  • Washington Consumer Health Data Privacy Notice
  • Cookie Settings
  • Disclaimer

    Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT). The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc.

    All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. This website is not intended for residents of Arizona and New Mexico.

    Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna Healthcare website. Cigna Healthcare may not control the content or links of non-Cigna Healthcare websites. Details