ctscharpf
New
ICD10:
In the coding guidelines for chronic kidney disease it indicates code first for underlying conditions Diabetes and Hypertension. In the CKD stages I-IV most physicians address those underlying conditions in their notes and they are coded correctly.
However, for End Stage renal disease (N18.6) the notes for the dialysis visits rarely assess, evaluate or treat the underlying conditions in their notes. Previously all MCP bills were sent with the ESRD diagnosis and the status code (Z99.2 in ICD10). Are the guidelines different for ESRD than Stages I-V? If they don't document anything regarding the assessment, treatment or plan for the underlying conditions, do they include the diagnosis on their bill?
Thanks,
Caryl
In the coding guidelines for chronic kidney disease it indicates code first for underlying conditions Diabetes and Hypertension. In the CKD stages I-IV most physicians address those underlying conditions in their notes and they are coded correctly.
However, for End Stage renal disease (N18.6) the notes for the dialysis visits rarely assess, evaluate or treat the underlying conditions in their notes. Previously all MCP bills were sent with the ESRD diagnosis and the status code (Z99.2 in ICD10). Are the guidelines different for ESRD than Stages I-V? If they don't document anything regarding the assessment, treatment or plan for the underlying conditions, do they include the diagnosis on their bill?
Thanks,
Caryl