April Syth
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So I am finding that there is additional description for coding convention "with" "The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated. For conditions not specifically linked by these relational terms in the classification,provider documentation must link the conditions in order to code them as related." So my question if a patient has CKD and also has diabetes we can now assume the relationship and use the diabetic manifestation code E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease? Or does the provider has to say the term "with"? Or does the provider have to select the manifestation code? I am just wondering if the coders now have the ability to link the two conditions without the providers telling us? Thanks