DeniMCharlotte
Contributor
I queried one of my providers recently regarding a patient who had CKD4 and HTN. She wanted to use I10 with N18.4 and I explained due to ICD-10 guidelines that there was a presumed relationship between the two and that I12.9 should be utilized. She then came back and told me that the CKD was due to Diabetes and that she had received that information from the patients Nephrologist. DM was not mentioned in her notes whatsoever, but I told her if the patient has DM with CKD that the code should be E11.22. In this instance, would I still want to utilize I12.9? My first inclination was to still use the I12.9 since there is a presumed relationship but I wanted to get some opinions from the rest of you to see what the correct reporting of codes should be. I couldn't find anything definitive in the guidelines.
Thank you!
-Denise
Thank you!
-Denise