Wiki CHF, HTN and CKD

[coding1228]

Hello all,

Please advise on the appropriate diagnosis codes for the following scenario:

A patient is assessed in the office setting for the following diagnoses: CHF, HTN and CKD. There is no additional documentation linking any of the conditions together.

Thank you!

 

[Tonyj]

Hello all,

Please advise on the appropriate diagnosis codes for the following scenario:

A patient is assessed in the office setting for the following diagnoses: CHF, HTN and CKD. There is no additional documentation linking any of the conditions together.

Thank you!

How about 428.0 and 403.90 (as per guidelines htn and ckd is presumed cause and effect)

 

[coding1228]

Is your understanding (from the guidelines) that the 404.xx code cannot be used in this scenario unless the htn is somehow linked to the CHF ie: Hypertensive CHF or Hypertension w/ CHF etc.?

Thanks for your response!

 

[francotti@aol.com]

You have to code CKD 585.9 along with 403.90 and 428.0

 

[Tonyj]

Is your understanding (from the guidelines) that the 404.xx code cannot be used in this scenario unless the htn is somehow linked to the CHF ie: Hypertensive CHF or Hypertension w/ CHF etc.?

Thanks for your response!

Yes. The guidelines made no mention of it as it did with CKD/HTN and as francotti stated you must use 585.9, missed that part.