Wiki Diabetes and CKD

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ElaineLopez0174

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Hello! My apologies if this has been asked.

We are told by insurance coders that it's ok to code a causal relationship between DM and CKD if it is documented.

Example, E11.22 - DM Type II with diabetic chronic kidney disease is documented.
This makes sense because the description is written as above.

The bigger question is if the following is documented; can we assume a causal relationship (the same as HTN)?

E11.65 - DM Type II with hyperglycemia
N18.31 - CKD, Stage 3a

Would you code E11.65 or E11.22; even though the description does not say CKD and provider does not document a relationship?

I could not find similar wording as it is with HTN.

Thank you,
Elaine
 
ElaineLopez0174 said:
Hello! My apologies if this has been asked.

We are told by insurance coders that it's ok to code a causal relationship between DM and CKD if it is documented.

Example, E11.22 - DM Type II with diabetic chronic kidney disease is documented.
This makes sense because the description is written as above.

The bigger question is if the following is documented; can we assume a causal relationship (the same as HTN)?

E11.65 - DM Type II with hyperglycemia
N18.31 - CKD, Stage 3a

Would you code E11.65 or E11.22; even though the description does not say CKD and provider does not document a relationship?

I could not find similar wording as it is with HTN.

Thank you,
Elaine
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I would code both E11.65 and E11.22, as well as the N18.31

The ICD-10 guideline I.C.4.a for Diabetes states to use as many codes as necessary to describe all of the complications of the disease.

Diabetes and CKD are automatically assumed to be linked (per the "With" convention of the ICD-10 guidelines), unless the provider specifically states that the CKD and diabetes are NOT related.
 
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