Wiki Coding Diabetes with HTN and CKD

[angelalhale]

If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could code those both for the CKD. Thanks

 

[sls314]

If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could code those both for the CKD. Thanks

Yes, you'd code I12.9, E11.22, and also N18.31 for the CKD 3a.

(Assuming that the provider didn't specifically state that the CKD was unrelated to either the hypertension or diabetes. The "with CKD" linkage is assumed to be related, unless the provider specifically documents that it isn't.)

 

[angelalhale]

thank you. There was no documentation that linked the CKD to either.

 

[Theresa Butts]

Yes, you'd code I12.9, E11.22, and also N18.31 for the CKD 3a.

(Assuming that the provider didn't specifically state that the CKD was unrelated to either the hypertension or diabetes. The "with CKD" linkage is assumed to be related, unless the provider specifically documents that it isn't.)

I have a similar situation; however, the documentation indicates type 2 diabetes mellitus without complications. Would you still code E11.22, or E11.9?

 

[umapatimishra]

Yes, you'd code I12.9, E11.22, and also N18.31 for the CKD 3a.

(Assuming that the provider didn't specifically state that the CKD was unrelated to either the hypertension or diabetes. The "with CKD" linkage is assumed to be related, unless the provider specifically documents that it isn't.)

Code I12.9 (Hypertensive CKD) along with E11.22 (Type 2 diabetes mellitus with diabetic CKD) and N18.31 (CKD stage 3a).

This is based on the guideline that a causal relationship between hypertension, diabetes, and CKD is assumed when documented, unless the provider clearly states the conditions are unrelated.