acute on chronic renal failure-Physician documents

ggparker14

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Physician documents acute on chronic renal failure. Would 518.84 be correct code or should this be coded as 584.9, 585.9?

Thanks for any help.
 

Jacoder

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518.84 is for RESPIRATORY failure. You should code the acute renal failure first, with the chronic renal failure as the secondary dx according to coding guidelines.
 
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