• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

CKD due to HTN and the DM "with"

Messages
9
Location
Mesa Kiwanis Coders
Best answers
0
Ok question.
Now that 81CKD and DM are linked by a with, and HTN always has been, is it appropriate to code DM due to HTN AND e11.22? I would assume it would be like a cataract and as long as it is not specified as not linked it would. HTN is assumed, so why wouldn't DM and CKD be as well, even though it is specified as HTN? I mean the relation is linked. Does it matter if the provider says it?
 

angela87165

Contributor
Messages
21
Best answers
0
Combo Code HTN, CKD, DM

Using the guidelines for the tabular “with” and code also notes, I would code as I12.9, N18.9, E11.22.
 

smoran

New
Local Chapter Officer
Messages
3
Location
Latham, NY
Best answers
0
DM in index does not have a direct link to HTN but does have a direct link to CKD. Could you please explain how you linked in the index under "with" new guideline. Thank you
 
Messages
173
Location
Houston, TX
Best answers
0
Under CKD it states to code first any associated diabetic chronic kidney disease and hypertensive chronic kidney disease. Ex: i12.0, e11.22, n18.6
 

smoran

New
Local Chapter Officer
Messages
3
Location
Latham, NY
Best answers
0
thank you Devin, My confusion was linking the HTN with DM. I was indexing DM with HTN not HTN with renal (CKD). So, it's a 2 step approach, not a one step DM with HTN. Thank you for clarifying.
 
Top