Question E11.21 vs E11.22

dmunoz781

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When I code any CKD N18.1 - N18.9 and DM is present E11.22 should be used and not E11.21, followed by the N code. E11.22 states within its code DM with CKD therefore it is a more accurate code than E11.21 which is just DM with Nephropathy (any kidney condition). I am not aware that E11.21 and E11.22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
 
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When I code any CKD N18.1 - N18.9 and DM is present E11.22 should be used and not E11.21, followed by the N code. E11.22 states within its code DM with CKD therefore it is a more accurate code than E11.21 which is just DM with Nephropathy (any kidney condition). I am not aware that E11.21 and E11.22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
Awesome. Thank you.:}
 
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